单气囊小肠镜在疑似小肠疾病诊治中的价值  

The Value of Single Balloon Enteroscopy in the Diagnosis and Treatment of Suspected Small Intestinal Diseases

作　　者：毛乙鸿 秦金玉[2] 郭天骄 黄兴兰[2] 陈霖[2] 吴俊超[2] 

机构地区：[1]合江县人民医院内四科,四川泸州646200 [2]四川大学华西医院消化内科,四川成都610041

出　　处：《四川医学》2015年第3期275-278,共4页Sichuan Medical Journal

摘　　要：目的评价单气囊小肠镜在疑似小肠疾病诊治中的价值。方法回顾性分析152例因疑似小肠疾病接受单气囊小肠镜检查患者的临床资料,观察进镜方式及抵达距离、患者耐受性、镜下及最终诊断结果、并发症发生率并进行分析。结果共进行176例次检查,经口进镜107例次,经肛进镜68例次,经造瘘口进镜1次,均完成检查,无严重并发症发生。152例患者中检出病变115例,总阳性率75.66%;不明原因消化道出血受检率最高,为62.50%(95/152),其中阳性率84.21%(80/95);检出小肠病变类型有小肠肿瘤、小肠血管性病变、非特异性炎症性病变、Meckel憩室、小肠钩虫病、克罗恩病等。结论对于疑似小肠疾病,单气囊小肠镜是安全、有效的检查方法,具有较高的临床应用价值。Objective To evaluate the value of single balloon enteroscopy in the diagnosis and treatment of suspected small intestinal diseases. Methods A retrospective analysis from clinical data of 152 patients,who received a single balloon en-teroscopy（SBE） for suspected small intestinal diseases. Observe the entry mode and arrival distance of enteroscopy,the patients’ tolerance,endoscopic and final diagnosis results,incidence of complications in order to analyse. Results Conducted 176 cases of SBE inspections,107 via mouth,68 via anus and 1 via colostomies. no serious complications were observed. 115 patients from 152 cases of study population were detected with lesions,and the positive rate was 75. 66%. The detection rate for unexplained gastro-intestinal bleeding（OGIB） is 62. 5%（95/152）,which was higher than other symptoms, and the positive rate was 84. 21%（80/95）. The SBE examinations detected intestinal diseases-neoplasms of the small intestine,intestinal vascular disease,non-specific inflammatory lesions,Meckel ＇s diverticulum, intestinal hookworm disease, Crohn’s disease, etc. Conclusion We conclude that SBE is a safe and effective method for inspecting suspected small bowel diseases,and has a high value in clinical application.

关 键 词：单气囊小肠镜 小肠疾病 诊治 不明原因消化道出血 

分 类 号：R574.5[医药卫生—消化系统]