摘要
目的:探讨和评价双气囊电子小肠镜(DBE)对小肠疾病的诊断价值、安全性及适应症.方法:对怀疑或证实有小肠疾病的183例患者在异丙酚麻醉/镇静状态下进行210例次(经口检查61例,经肛门检查95例,双侧对接检查27例)DBE检查.结果:检查成功率为99.5%(209/210),平均检查时间75(30-180)min.小肠病变阳性检出率为71.0%(130/183),检出的主要病变有:小肠炎症性改变(n=43)、小肠Crohn病(n=19)、小肠血管发育不良(n=17)、小肠息肉(n=14)、小肠肿瘤(n=14,恶性10例,良性4例)、Peutz-Jeghers综合征(n=8)、小肠憩室及小肠寄生虫病各4例,其他少见小肠疾病7例.仅少数患者检查结束后有轻微咽部或肛门部疼痛不适和腹胀.结论:DBE能够对整个小肠进行直视检查,检查成功率高,安全可靠,对小肠疾病检出率高,可作为小肠疾病诊断的首选方法.
AIM： To evaluate the diagnostic rates, indications and complications of double balloon enteroscopy （DBE） for small-bowel diseases METHODS： A total of 183 patients with suspected or known small-bowel disease underwent 210 DBE procedures （under anesthesia with propofol, via an oral approach 61 patients, an anal approach in 95 patients, or both approaches 27 patients） at our institution. RESULTS： The success rate of DBE was 99.5% （209/210）. The mean duration of the procedure was 75 （30 - 180） min. A positive diagnosis was achieved in 130 patients, giving an overall of 71.0% （130/183）. The main discovered smallbowel diseases were as follows： jejunitis/ileitis （n = 43）, Crohn＇s disease （n = 19）, angiodysplastic lesions （n = 17）, polyps （n = 14）, tumor （n = 14, malignancy 10, benign 4）, Peutz-Jeghers syndrome （n = 8）, diverticula and celiosites of the small intestine （n = 4 respectively）, and other rare diseases of the intestine （n = 7）. A few patients complained of light indisposition or pain in the pharyngeal portion or pars analis after the DBE procedure. CONCLUSION： The procedure is safe and useful, provides high diagnostic yields, and can be regarded as the first-choice of examination procedure for suspected small-bowel diseases.
出处
《世界华人消化杂志》
CAS
北大核心
2007年第28期3049-3053,共5页
World Chinese Journal of Digestology
基金
全军十一五面上课题资助项目
No.06MA026~~
关键词
双气囊电子小肠镜
小肠疾病
诊断
Double-balloon endoscopy
Smallintestinal diseases
Diagnosis
