小肠出血患者行双气囊小肠镜检查的时间选择  

The timing choice of double balloon enteroscopy examination in patients with small intestinal bleeding

作　　者：曾斌[1] 戴勇[1] 胡光胜[1] 陈亮[1] 廖爱军[1] 

机构地区：[1]南华大学第一附属医院消化内科,湖南衡阳421001

出　　处：《中国内镜杂志》2015年第12期1257-1261,共5页China Journal of Endoscopy

摘　　要：目的探讨双气囊小肠镜检查（DBE）对小肠出血患者的诊断时间选择。方法系统回顾分析2010年1月-2014年10月该院消化科收治的可疑小肠出血患者121例临床资料,按照检查时间的不同分为A组（24 h内行DBE）,B组（24~48 h内行DBE）和C组（48 h以后行DBE）,收集整理3组患者的检查结果,并进行统计学分析及比较。结果 121例小肠出血患者全部接受DBE检查,发现病变60例,病变总检出率为49.59%。A组病变检出率为67.50%（27/40）,明显高于C组的病变检出率39.13%（18/46）,差异有统计学意义（P=0.009）;同时A组也高于B组的病变检出率42.86%（15/35）,差异有统计学意义（P=0.032）。而B组的病变检出率与C组相比,差异无统计学意义（P=0.735）。24 h内的行DBE检查的平均检查时间明显短于24~48 h内行DBE和48 h以后行DBE,差异有统计学意义;而24~48 h行DBE的平均检查时间与48 h以后行DBE差异不大,差异无统计学意义。结论对于小肠出血患者,在24 h内行DBE的检查是安全、可行并且有效的,与24 h后DBE相比,检查时间更短,病变检出率更高。条件合适时,对小肠出血患者可尽早行双气囊小肠镜检查。【Objective】To explore the suitable timing of using double-balloon enteroscopy examination（DBE） to diagnose patients with small intestinal bleeding. 【Methods】System review and analysis on 121 patients with suspected small bowel bleeding, from January 2010 to October 2014. According to the checking time, they were divided into group A（examined by DBE within 24 h） and group B（examined by DBE on 24~48 h） and group C（examined by DBE after 48 h）. Then collect clinical data of this three groups patients, and making statistical analysis and comparison. 【Results】All 121 cases of small intestinal bleeding patients examined by DBE, found lesions in 60 cases,total lesion detection rate of 49.59 %. Group A（examined by DBE within 24 h） lesion detection rate was 67.50 %（27/40）, significantly higher than group C（examined by DBE after 48 h）, which lesion detection rate was 39.13 %（18/46）, the difference was statistically significant（P = 0.009）; At the same time, group A is higher than group B（examined by DBE on 24~48 h）, which lesion detection rate was 42.86 %（15/35）, the difference was statistically significant（P = 0.032）. While the lesion detection rate of group B compared with group C, there was no statistically significant difference（P = 0.735）. Average DBE examination time of group A significantly shorter than group B and group C, the difference was statistically significant; while Average DBE examination time of group B had little difference with group C, there was no statistically significant difference.【Conclusion】 For patients with small intestinal bleeding, which are safe, feasible and effective when they were examined by DBE within 24 h. Compared to the patients which were examined by DBE after 24 h, the examination time is shorter, lesion detection rate is higher.When conditions are reasonable, patients with small intestinal bleeding should carry out double balloon enteroscopy examination as soon as possible.

关 键 词：双气囊小肠镜检查 时间选择 小肠出血 

分 类 号：R574.5[医药卫生—消化系统]