32例单气囊小肠镜检查小肠疾病的临床效果  

Clinical effect of single balloon enteroscopy in 32 patients with intestinal disease

作　　者：刘海霞[1] 陈莹[1] 王鸿轲 薛挺[1] 吴育美[1] 马医安 吴振华[1] 李继昌[1] 郑甦[2] LIU Hai-xia;CHEN Ying;WANG Hong-ke;XUE Ting;WU Yu-mei;MA Yi-an;WU Zhen-hua;LI Ji-chang;ZHENG Su(Digestive Medicine Department;Pathology Department, Baoji Central Hospital, Baoji 721008, China)

机构地区：[1]宝鸡市中心医院消化内科,陕西宝鸡721008 [2]宝鸡市中心医院病理科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2018年第14期4-7,共4页Clinical Research and Practice

摘　　要：目的探讨单气囊电子小肠镜对小肠疾病的临床诊断价值。方法回顾性分析了32例采用静脉麻醉下进行单气囊电子小肠镜检查患者的临床资料。结果 32例患者共确诊32例,阳性率为100.00%;不明原因的小肠出血12例,占37.50%(12/32);其中小肠溃疡6例,6例中1例是巨大憩室合并溃疡出血,1例同时有小肠息肉及小肠毛细血管扩张,1例溃疡同时有血管畸形;毛细血管扩张2例;非特异性炎症2例;多发血管瘤1例;小肠腺癌1例。20例腹痛、腹泻患者中,其中溃疡3例,1例病理为肠型T细胞淋巴瘤;小肠息肉4例,病理均为慢性炎症;小肠腺癌1例;小肠非特异性炎症12例;并发憩室的2例。结论对常规胃镜、结肠镜检查不能解释的消化道出血患者以及对腹部螺旋CT或全消化道造影检查提示小肠可能有病变如肠壁局限性狭窄、扩张、淤张、扭转等患者,需行小肠镜检查以明确诊断。小肠的病变和胃镜可见的上消化道以及结肠镜可见的下消化道病变一样,存在非特异性炎症、息肉、溃疡、恶性肿瘤以及多于上消化道及结肠的血管畸形、憩室等病变。Objective To investigate the clinical value of sing le balloon enteroscopy in the diagnosis of intestinal diseases. Methods The clinical data of 32 patients with single balloon electronic enteroscopy under intravenous anesthesia were analyzed retrospectively. Results A total of 32 patients were diagnosed in 32 cases, the positive rate of 100.00%; 12 cases of unexplained intestinal bleeding, accounted for 37.50%（12/32）; 6 cases of intestinal ulcer, of which, 1 case of huge diverticulum with ulcer bleeding, 1 case of intestinal polyps and intestinal telangiectasia, 1 case of ulcer with vascular malformation. There were 2 cases of telangiectasia; 2 cases of nonspecific inflammation; 1 case of multiple hemangioma and1 case of small intestinal adenocarcinoma. Among 20 cases of abdominal pain and diarrhea, there were 3 cases of ulcer, 1 case of intestinal type T cell lymphoma, 4 cases of small intestinal polyps, and pathology of chronic inflammation, 1 case of intestinal adenocarcinoma, 12 cases of non-specific inflammation of small intestine, and 2 cases in which complicated with diverticulum. Conclusion The patients with gastrointestinal bleeding which the conventional gastroscopy and colonoscopy can not explain and the patients which abdominal spiral CT or gastroenterography examination showed intestinal lesions may have limitations such as intestinal wall with narrow, expansion, in tension or torsion, and a clear diagnosis by endoscopy is needed. The lesions of the small intestine are similar to those seen in the upper gastrointestinal tract under gastroscopy and the lower digestive tract lesions under colonoscopy. There are nonspecific inflammation, polyps, ulcers, malignant tumors,vascular malformations and diverticulum lesions in the upper gastrointestinal tract and colon.

关 键 词：单气囊电子小肠镜 小肠疾病 小肠息肉 

分 类 号：R574[医药卫生—消化系统]