双气囊电子小肠镜在小肠病变中的诊断价值  

The experience and clinical value of double balloon endoscopy in 65 cases

作　　者：刘鑫[1] 张法灿[1] 农兵[1] 梁运啸[1] 周庆南[1] 张文华[1] 梁列新[1] 

机构地区：[1]广西壮族自治区人民医院消化内科,南宁530021

出　　处：《中国临床新医学》2017年第5期431-434,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的评价双气囊电子小肠镜对小肠病变的诊断价值、有效性及安全性。方法对65例行双气囊电子小肠镜检查可疑小肠病变患者的临床资料进行回顾性分析。结果 65例患者进行双气囊电子小肠镜检查,42例发现病灶,总体检出阳性率为64.6%,前三位病变为炎性病变、美克尔憩室和肿瘤。其中慢性腹痛阳性率为54.2%,不明原因消化道出血阳性率为80.0%,不全性肠梗阻阳性率为90.9%,腹泻阳性率为100.0%。并发症发生回肠末段穿孔1例,一过性心率下降1例,无消化道出血、急性胰腺炎及其他严重心肺功能障碍发生。结论双气囊电子小肠镜对小肠病变具有较高的临床诊断价值,安全性及有效性较好,是目前小肠病变最好的检查方法之一,但仍具有一定风险。Objective To evaluate the diagnostic and therapeutic value and safety of double balloon enteros- copy（DBE） in small intestinal diseases. Methods The data of 65 patients who underwent DBE for suspected small intestinal diseases were retrospectively analyzed. Results Of the 65 cases, 42 cases had been found lesions （64. 6% ）, in which nonspecific intestinal inflammations were the first cause, followed by Meckal diverticula and tumors. The lesion detective rate of chronic abdominal pain was 54. 2%. The rate of obscure gastrointestinal bleeding was 80. 0%, The rate of incomplete intestinal obstruction was 90. 9%, and the rate of unexplained diarrhea was 100. 0%. Two cases occurred severe complications during the operation of DBE, in whom one had terminal ileum perforation, and the other had temporary decreased heart rate. No other complications occurred such as bleeding, pancreatitis and severe cardiovascular events. Conclusion DBE is a valuable method of diagnosing small intestinal diseases, with the advantages of high safety and reliability.

关 键 词：双气囊 内窥镜 小肠疾病 腹痛 不明原因消化道出血 

分 类 号：R574[医药卫生—消化系统]