双气囊小肠镜对小肠疾病诊断价值  

Double balloon enteroscopy for the diagnosis of small intestine diseases

作　　者：田野[1] 邵晓冬[1] 任丽楠[1] TIAN Ye;SHAO Xiao-dong;REN Li-nan(Department of Gastrology,The General Hospital of Shenyang Military Command,Shenyang 110016,China)

机构地区：[1]沈阳军区总医院消化内科,辽宁沈阳110016

出　　处：《临床军医杂志》2018年第10期1228-1230,共3页Clinical Journal of Medical Officers

基　　金：辽宁省博士科研启动基金(20111094);辽宁省自然科学基金(201602787)

摘　　要：目的探讨双气囊小肠镜在小肠疾病诊断中的价值及安全性。方法回顾性分析自2014年1月至2015年12月于沈阳军区总医院消化内科行双气囊小肠镜检查的183例患者临床资料。根据患者病情选择经口或经肛的进镜方法,其中,经口67例,经肛97例,双向进镜19例。若发现病变,行病理学检查。结果经口进镜67例,经肛进镜97例,双向进镜19例。阳性病变检出率为85. 2%(156/183)。其中,小肠溃疡占17. 4%(32/183);小肠息肉占13. 1%(24/183);克罗恩病占9. 2%(17/183),小肠良、恶性肿瘤占8. 7%(16/183),小肠非特异性炎性改变占6. 0%(11/183)。经双气囊小肠镜检查后,65. 3%(64/98)患者可明确消化道出血的病因。所有患者检查过程中及结束后均未发生严重并发症,仅有少数患者有咽部不适、轻微腹胀等,均可自行缓解。结论双气囊小肠镜对小肠疾病阳性检出率较高,检查安全有效,是诊断小肠疾病的重要手段。Objective To investigate the diagnostic value and safety of double balloon enteroscopy in small intestine diseases.Methods A retrospective study was performed on 183 cases of patients with small intestine diseases who underwent double balloon enteroscopy from January 2014 to December 2015.According to the patient′s condition,the method of transoral or transanal endoscopy was selected,among which,there were 67 cases of transoral,97 cases of transanal and 19 cases of bilateral endoscopy.If lesions were found,pathological examination would be performed.Results There were 67 cases of transoral endoscopy,97 cases of transanal endoscopy and 19 cases of bilateral endoscopy.The detection rate of positive lesions was 85.2%(156/183).Small intestinal ulcer accounted for 17.4%(32/183),intestinal polyps accounted for 13.1%(24/183),Crohn′s disease was 9.2%(17/183),benign and malignant small intestinal tumors was 8.7%(16/183),and non-specific inflammatory changes in small intestine was 6.0%(11/183).After double balloon colonoscopy,65.3%(64/98)of the patients could be identified as the cause of gastrointestinal bleeding.No serious complications occurred during and after the examination,and only a few patients had pharyngeal discomfort and slight abdominal distension,which could be relieved by themselves.Conclusion Double balloon enteroscopy is a safe diagnostic method for small intestine diseases with a high detection rate and safety.

关 键 词：双气囊小肠镜 小肠疾病 诊断价值 

分 类 号：R574.5[医药卫生—消化系统]