双气囊电子小肠镜诊断小肠疾病价值分析  

Diagnostic Value of Double- balloon Enteroscopy in Identifying Small Intestine Diseases

作　　者：刘婉薇[1] 沙卫红[1] 王启仪[1] 徐丽姝[1] 马娟[1] 

机构地区：[1]广东省人民医院(广东省医学科学院)消化科,广东省广州市510080

出　　处：《中国全科医学》2015年第3期342-345,共4页Chinese General Practice

基　　金：国家自然科学基金资助项目(81001112);广州市科技局珠江科技新星项目资助(2012J2200019)

摘　　要：目的探讨双气囊电子小肠镜诊断小肠疾病的价值。方法收集2006年6月—2013年2月广东省人民医院接受双气囊电子小肠镜检查的患者116例,回顾性分析其小肠镜检查结果。结果 116例患者在异丙酚麻醉/镇静状态下共进行127例次小肠镜检查,包括经口检查68例,经肛门检查37例,双向入镜检查11例,检查成功率为99.2%(126/127)。小肠疾病阳性检出率为87.9%(102/116),位居前5位分别为克罗恩病(35例,30.2%)、小肠恶性肿瘤(23例,19.8%)、小肠糜烂溃疡性炎症(16例,13.8%)、小肠良性肿瘤(9例,7.8%)和小肠血管畸形(5例,4.3%)。少数患者于检查结束完全清醒后诉轻微的咽喉部不适、肛周不适或腹胀,均可自行缓解。结论双气囊电子小肠镜检查成功率高,对小肠疾病阳性检出率高,相对安全可靠,对小肠疾病诊断价值高。Objective To investigate the diagnostic value of double - balloon enteroscopy in identifying small intestine diseases. Methods 116 cases who were examined using double - balloon enteroscopy in Guangdong General Hospital from July 2006 to February 2013, were selected as study subjects, the results of the enteroscopy examination were analysed retrospectively. Results Under propofol anesthesia/sedation, all patients received 127 times of double balloon enteroscopy examination, 68 cases received examination through mouth, 37 cases received examination through anus, 11 cases received examination through both mouth and anus, the successful rate of examination was 99. 2% （126/127） . The detection rate of intestine diseases was 87.9% （102/116） . Among the lesions detected by double - balloon enteroscopy, Crohn＇s disease （35 cases, 30. 2% ）, intestinal malignancies （23 cases, 19. 8% ）, intestinal erosions and ulcers （16 cases, 13.8% ）, intestinal benign tumors （9 cases, 7.8% ） and intestinal vascular malformation （ 5 cases, 4. 3% ） were the most common lesions in order. After examination, a small number of cases had throat discomfort, crissum discomfort or abdominal distension, the symptoms were temporary, and could relieve itself. Conclusion The successful rate of double - balloon enteroscopy examination is high, the detection rate of intestine diseases is high, double - balloon enteroscopy is relatively safe, so it has high diagnostic value for detecting small intestine diseases.

关 键 词：内窥镜检查 胃肠道 肠疾病 克罗恩病 肠肿瘤 诊断 

分 类 号：R574.5[医药卫生—消化系统]