气囊辅助内镜在小肠肿瘤诊断中应用价值的研究  

Diagonstic value of balloon-assist endoscopy for primary small bowel tumors

作　　者：侯晓婷 毛高平[1] HOU Xiaoting;MAO Gaoping(Department of Gastroenterology,Air Force General Hospital of Chinese PLA,Beijing 110011,China)

机构地区：[1]中国人民解放军空军总医院消化内科,北京110011

出　　处：《安徽医药》2018年第10期1888-1891,共4页Anhui Medical and Pharmaceutical Journal

基　　金：首都特色基金(Z151100004015215)

摘　　要：目的评价气囊辅助内镜(BAE)对小肠肿瘤的诊断价值及安全性。方法对168例临床疑似小肠肿瘤患者行BAE检查。其中100例和30例患者分别同时行腹部CT和胶囊内镜(CE)检查,最后进行汇总分析,并与病理结果进行对比。结果168例患者最后经病理证实小肠肿瘤104例,其中BAE检出小肠肿瘤101例,BAE对小肠肿瘤的敏感性和特异性分别为97.12%、100.00%。100例腹部CT病变检出率为52%(52/100),确诊小肠肿瘤44例,敏感性和特异性分别为70.97%、78.95%。30例CE病变检出率为80%(24/30),确诊小肠肿瘤16例,敏感性和特异性分别为84.21%、27.27%。结论气囊辅助内镜具有良好的临床应用价值和很好的安全性,可提高小肠肿瘤的诊断率。Objective To assess the diagnostic yield and security of balloon-assist endoscopy（ BAE） in small bowel tumors. Methods Data of 168 patients with suspeCTed small bowel tumors undergoing balloon-assist endoscopy were reviewed. 100 and 30 patients respeCTively received abdominal CT and capsule endoscopy（ CE） at the same time. The results of exams were analyzed independently and final diagnosis of each case was compared thereafter. Results Of the 168 patients,104 patients of mall bowel tumors were confirmed by pathology. Among them,101 cases of small intestine tumors were deteCTed by BAE. The sensitivity and specificity of BAE was 97. 12%and 100. 00%,respeCTively. The deteCTion rate of 100 cases of abdominal CT lesions was 52%（ 52/100）,44 cases of small bowel tumors were confirmed. The sensitivity and specificity of abdominal CT was 70. 97% and 78. 95%,respeCTively. The deteCTion rate of 30 cases of CE lesions was 80%（ 24/30）,16 cases of small bowel tumors were confirmed. The sensitivity and specificity of abdominal CT was 84. 21% and 27. 27%,respeCTively. Conclusions Balloon-assist endoscopy has good clinical value and good safety,which can improve diagnosis rate of small bowel tumors.

关 键 词：回肠肿瘤 空肠肿瘤 内窥镜检查 消化系统 气囊 气囊辅助内镜 

分 类 号：R735.32[医药卫生—肿瘤]