48例双气囊小肠镜检查的临床分析  

Clinical Analysis of 48 Cases of Double-Balloon Enteroscopy

作　　者：赵春萍 杨晓英 董晓娜 施杜渲 黄锦杰 李博文 Zhao Chunping;Yang Xiaoying;Dong Xiaona;Shi Duxuan;Huang Jinjie;Li Bowen(Department of Gastroenterology,The First People's Hospital of Dali City,Dali,Yunnan 671000,China)

机构地区：[1]大理市第一人民医院消化科,云南大理671000

出　　处：《大理大学学报》2025年第4期38-41,共4页Journal of Dali University

摘　　要：目的:探讨双气囊小肠镜(DBE)在小肠疾病临床诊断中的应用情况。方法:回顾性分析2017年4月至2024年10月在大理市第一人民医院接受DBE检查的48例疑似小肠疾病患者的临床资料,记录其性别、年龄、进镜方向及深度、疾病检出情况等指标。结果:48例患者共完成50次DBE检查,其中,经口检查27例,经肛检查23例,疾病检出率为70.8%(34/48)。经口进镜深度显著大于经肛进镜深度,差异有统计学意义(P<0.01)。DBE的常见适应证是不明原因消化道出血(OGIB)和腹痛,≤40岁患者主要因OGIB接受检查,而>40岁患者以腹痛为主要检查原因,差异有统计学意义(P<0.05)。不同年龄段患者中,>40岁患者的溃疡、炎症检出率及疾病检出率显著高于≤40岁患者,差异有统计学意义(P<0.05)。所有患者未发生严重并发症。结论:DBE对小肠疾病的诊断具有较高价值,尤其适用于OGIB和腹痛患者的病因诊断。Objective:To investigate the clinical diagnostic application of double-balloon enteroscopy(DBE)in small intestinal diseases.Methods:A retrospective analysis was conducted on the clinical data of 48 patients with suspected small intestinal diseases who underwent DBE at the First People's Hospital of Dali City from April 2017 to October 2024.Patient characteristics,including gender,age,insertion route and depth,and disease detection rates,were recorded.Results:A total of 50 DBE procedures were performed on 48 patients,including 27 via oral insertion and 23 via anal insertion,with an overall disease detection rate of 70.8%(34/48).The insertion depth via the oral route was significantly greater than that via the anal route,with a statistically significant difference(P<0.01).The most common indications for DBE were obscure gastrointestinal bleeding(OGIB)and abdominal pain.Patients aged≤40 years primarily underwent DBE for OGIB,while those aged>40 years were predominantly examined for abdominal pain,with a statistically significant difference(P<0.05).Among different age groups,patients aged>40 years exhibited significantly higher detection rates of ulcers,inflammation,and overall disease compared to those aged≤40 years(P<0.05).No severe complications were reported in all cases.Conclusion:DBE has high diagnostic value for small intestinal diseases and is particularly effective in identifying the etiology of OGIB and abdominal pain.

关 键 词：双气囊小肠镜 小肠疾病 诊治 

分 类 号：R574.5[医药卫生—消化系统]