单气囊小肠镜在空回肠憩室出血中的诊治价值  

Value of single balloon endoscopy in the diagnosis and treatment of jejunoileal diverticular hemorrhage

作　　者：陈念钧[1] 孟晓岩[2] 侯伟[1] 王渝[3] 黎培员[4] 谢华平[4] 

机构地区：[1]华中科技大学同济医学院附属同济医院消化内镜中心,湖北省武汉市430030 [2]华中科技大学同济医学院附属同济医院放射科,湖北省武汉市430030 [3]华中科技大学同济医学院附属同济医院病理科,湖北省武汉市430030 [4]华中科技大学同济医学院附属同济医院消化内科,湖北省武汉市430030

出　　处：《世界华人消化杂志》2013年第15期1448-1452,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨单气囊小肠镜在空回肠憩室出血中的诊治价值.方法:回顾性分析华中科技大学同济医学院附属同济医院2009-02/2013-01所有单气囊小肠镜检查患者病历资料.结果:单气囊小肠镜确诊7例空回肠憩室,包括6例回肠憩室及1例空肠多发憩室.单气囊小肠镜不仅能确诊憩室,还能发现憩室出血的可能因素,包括憩室口炎症、溃疡形成.4例回肠憩室患者憩室切除手术治愈,术中憩室位置与单气囊小肠镜确定憩室位置一致,随访无复发.5例憩室术前接受小肠多排CT仿真内窥,1例发现憩室可能征象;2例行异位胃粘膜核素显像或小肠钡餐患者,各有1例阳性发现.结论:单气囊小肠镜不仅能有效发现憩室,还能明确憩室出血原因及憩室准确位置,为外科手术提供可靠依据.AIM： To evaluate the value of single balloon endoscopy in the diagnosis and treatment of jeju- noileal diverticular hemorrhage. METHODS： This retrospective review was carried out on patients who received single balloon endoscopy from February 2009 to January 2013 at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology. RESULTS： Seven patients, including one case of jejunal diverticulum and six cases of ileal di- verticula, were diagnosed with jejunoileal diverticular hemorrhage by single balloon endoscopy. Besides the diagnosis, single balloon endoscopy also found possible diverticular lesions resulting in bleeding, such as inflammation or ulcer inside the diverticula. Four cases of ileal diverticular hemorrhage were cured by diverticulectomy, without recurrence in the following periods. Di- verticular positions determined by surgery were consistent with the findings by single balloon endoscopy. One of five patients examined by multiple row computer tomography of the small intestine was found positive for diverticulum, while one of two patients checked by small bowel barium meal and one of two patients checked by abnormal gastric mucosa radionuclide imaging were found positive. CONCLUSION： Single balloon endoscopy can help not only efficiently diagnose jejunoileal diverticula but also detect possible diverticular lesions and determine possible positions.

关 键 词：小肠出血 单气囊小肠镜 空回肠憩室 

分 类 号：R656.7[医药卫生—外科学]