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内镜对胆肠内瘘的诊断价值 被引量:21

The diagnostic value of endoscopy in gallbladder-intestine fistula
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摘要 目的探讨内镜对胆肠内瘘的诊断价值。方法回顾性总结分析1982年1月至2004 年3月经内镜检查的24例胆肠内瘘患者的临床资料(均经手术证实)。结果24例中经内镜确诊21 例,其中在诊治过程的初期内镜误诊3例;内镜未能诊断3例。其他检查:B超检查11例、CT检查5 例、X线腹部平片检查7例,无一例确诊;钡餐X线或钡剂灌肠X线检查8例,2例确诊。结论内镜检查是诊断胆肠内瘘的重要方法。认识胆肠内瘘内镜表现特点可提高对该病的诊断水平。 To study on the effectiveness of endoscopy in diagnosing the gallbladdter-intestine fistula. Methods The clinical datum of 24 patients with gallbladder-intestine fistula from Janizary 1982 to Mareh 2004 were reviewed and analyzed retrospectively. All patients were examined by endoscopy and confirmed from operation. Results Twenty-one out of 24 patients were finally diagnosed by endoscopy while 3 of them were misdiagnosed. Other examinations among the 24 patients included B ultrasound 11 ,computer tomography (CT) 5, and abdominal plain films 7; none of them was finally diagnosed by these measures. Two out of 8 patients were finally diagnosed by barium meal or enema roentgenogram, Conclusion Endoscopy was an important method in diagnosing the gallbladder-intestine fistula, The diagnostic level would be improved if the specific characters of endoscopies in this entity were fully recognized.
出处 《中华消化内镜杂志》 2005年第4期244-247,共4页 Chinese Journal of Digestive Endoscopy
关键词 胆肠内瘘 诊断价值 内镜检查 X线检查 钡剂灌肠 Biliary fistula Endoscope Diagnosis
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