摘要
【目的】探讨双气囊小肠镜(Double-balloon enteroscopy,DBE)对不明原因消化道出血(Obscure gastrointestinal bleeding,OGIB)病因诊断的价值。【方法】78例OGIB患者,男45例,女33例,平均年龄45±16岁。所有患者均行DBE检查。对接受手术治疗的患者进行12～24个月随访。【结果】78例OGIB患者病变检出率为87.2%(68/78),检出病变以血管畸形多见,占发现病变的32.4%(22/68);在68例检出病变的患者中,有37例患者进行了手术治疗,DBE检查与手术符合率为86.5%(32/37)。在成功随访的36例手术患者中,有3例血管畸形患者又出现消化道出血;手术后诊断与随访最后诊断的符合率91.7%(33/36)。【结论】DBE检查对OGIB病因诊断具有重要临床价值。
[Objective] To evaluate the diagnostic yield of Double-balloon enteroscopy （DBE） in patients with Obscure gastrointestinal bleeding （OGIB）. [Methods] 78 patients with OGIB （45 men, 33 women, mean age 45 ± 16 years） were experienced DBE examination, and a part of them with operations had been followed-up for 12- 24 months. [Results] Abnormalities were detected in 68 （87.2%） of the 78 patients with OGIB. More common abnormalities were angioectasia （32.4%）. 37 of the 68 patients were underwent operations, and the results of operations were the same in 32 （86.5%） of 37 patients. Of the 36 patients with follow-up and operations, 3 patients with angioectasia bleed again. The coincident rate between operation and last following diagnosis was 91.7%（33/36）. [Conclusion] This research shows that DBE plays an important role in etiology diagnosis of OGIB.
出处
《中山大学学报（医学科学版）》
CAS
CSCD
北大核心
2009年第A04期186-189,共4页
Journal of Sun Yat-Sen University:Medical Sciences
关键词
双气囊小肠镜
不明原因消化道出血
病因
诊断
随访
double-balloon enteroscopy
obscure gastrointestinal bleeding
etiology
diagnosis
follow-up
