摘要
目的评价双气囊电子小肠镜对不明原因消化道出血的诊断价值和安全性及耐受性。方法2006年10月至2007年9月,在异丙酚静脉麻醉辅助下,对76例不明原因消化道出血患者施行双气囊电子小肠镜检查。结果76例患者中发现病变63例,病变检出率为82.9%。包括单发或多发性小肠溃疡17例,非特异性炎症9例,钩虫病7例,息肉病6例,血管畸形6例,憩室病4例(其中美克尔憩室3例),克罗恩病4例,间质瘤4例,高分化腺癌3例,十二指肠溃疡2例,蛔虫1例,未见明显异常13例。所有患者均顺利完成检查,未发生出血、穿孔等严重并发症,也未出现麻醉并发症或麻醉意外。结论双气囊电子小肠镜对不明原因消化道出血具有较高病变检出率和病因诊断准确率,是一种安全、可靠的检查手段。
Objective To evaluate the significance of double balloon endoscopy in the diagnosis of obscure gastrointestinal bleeding. Methods From October 2006 to September 2007, 76 patients （46 males and 30 females with 49.4 years of mean age, range 16 -78 years） with obscure gastrointestinal bleeding underwent double balloon endoscopy （32 via mouth, 24 via anus, 20 via both）. Results The bleeding source was identified in 63 of 76 patients, with a total diagnosis rate of 82.9%. Small intestine ulcer was in 17 cases, nonspecific inflammation in 9 cases, ancylostomiasis in 7, polyps in 6, vascular deformity in 6, diverticulosis in 4 （ Michael diverticulosis in 3 ）, Crohn＇ s disease in 4, mesenchymoma in 4, highly differentiated adenocarcinoma in 3, duodenal ulcer in 2, ascariasis in 1, and essentially normal in 13. No serious complications, such as hemorrhage and intestinal perforation, occurred in the operation procedure. Conclusion Double balloon en- doscopy is an effective and safe method for diagnosis of obscure gastrointestinal bleeding.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2009年第4期352-354,共3页
Journal of Third Military Medical University
