单气囊小肠镜在小肠肿瘤诊疗中的临床应用价值  

Clinical value of single balloon enteroscopy in small bowel tumor

作　　者：刘娜[1] 张筱茵[1] 梁树辉[1] 施宇鹏 潘妍[1] 王士博[1] 王新[1] 

机构地区：[1]第四军医大学西京医院西京消化病医院,陕西西安710032

出　　处：《现代肿瘤医学》2017年第8期1260-1263,共4页Journal of Modern Oncology

基　　金：国家自然科学基金面上项目(编号:81472701)

摘　　要：目的:评估单气囊小肠镜在小肠肿瘤诊疗中的临床应用价值。方法:回顾性分析我院内镜中心2009年2月至2014年12月期间进行单气囊小肠镜检查的354例患者的临床资料。结果:共有354例患者进行了532例次(378次经口,154次经肛)小肠镜检查,总诊断率为72.9%(258/354),其中共发现小肠肿瘤46例(17.8%,46/258)。临床表现为不明原因消化道出血的159例患者中发现小肠肿瘤22例(13.8%,22/159),表现为慢性腹痛的118例患者中发现小肠肿瘤15例(12.7%,15/118)。4例患者行小肠镜下腺瘤及息肉切除(共计97枚),3例患者行小肠狭窄扩张术。本研究未观察到严重并发症。结论:单气囊小肠镜在小肠肿瘤诊断中具有重要地位,且镜下治疗安全有效。Objective： To evaluate the clinical value of single balloon enteroscopy in the diagnosis and therapy of small bowel tumor.Methods： A retrospective analysis was performed for the data of 354 patients who underwent single balloon enteroscopy examination from February 2009 to December 2014.Results： A total of 532 procedures（oral route in 378 procedures and anal route in 154 procedures） were performed in 354 patients,and the overall diagnosis rate was 72.9%（258 /354）.Among all the patients,46 cases（17.8%,46 /258） were diagnosed with small bowel tumor.Among 159 patients with obscure gastrointestinal bleeding,22 cases（13.8%,22 /159） were diagnosed with small bowel tumor.Among 118 patients with chronic abdomen pain,15 cases（12.7%,15 /118） were diagnosed with small bowel tumor.97 polyps or adenomas were removed under endoscopy in 4 patients and balloon dilation of small bowel stricture was performed in 3 patients.No serious endoscopic complications were observed.Conclusion： Single balloon enteroscopy had high clinical value in the diagnosis of small bowel tumor and can be used for endoscopic therapy with safety and effectiveness.

关 键 词：小肠肿瘤 单气囊小肠镜 诊断 

分 类 号：R735.32[医药卫生—肿瘤]