摘要
目的分析双气囊小肠镜对不明原因消化道出血(OGIB)的诊断价值。方法对我院2006年10月—2010年12月23例OGIB患者的临床资料及施行双气囊小肠镜及手术诊治的结果进行回顾性分析。结果 23例OGIB患者中,男15例,占65.22%(15/23),女8例,占34.78%(8/23)。发病年龄20～59岁的占60.00%。双气囊小肠镜检查发现病灶14例,病变检出率为60.87%。能明确解释出血原因12例,病因诊断率为52.17%。同时接受双气囊小肠镜检查及手术的患者7例,其中4例双气囊小肠镜检查结果与手术结果符合,病因诊断准确率为57.14%。23例患者中发现病变14例,其中,间质瘤3例,血管畸形3例,溃疡2例,憩室病1例,黏膜糜烂1例,息肉病1例,非特异性炎症1例,克罗恩病1例,钩虫病1例,未见异常9例。结论 OGIB患者多发于中青年,以小肠间质瘤及血管畸形最常见,双气囊小肠镜对OGIB患者有较高的诊断价值。
Objective To analysis the value of double - balloon endoscopy in diagnosis obscure gastrointestinal bleed- ing （OGIB）. Methods A retrospective analysis of clinical data, double -balloon endoscopy （DBE） and surgery with ob- scure gastrointestinal bleeding of 23 cases from October 2006 to December 2010. Results In 23 cases of obscure gastrointestinal bleeding （OGIB） , fifteen patients were male （65.22%）, eight patients were female （34. 78% ）. The incidence in the pa- tients of 20 - 59 years old was 60. 00%. The lesions could be detected in 14 of 23 patients by DBE. The diagnosis rate was 60. 87 %. The bleeding source was identified in 12 of 23 patients by DBE. The etiological diagnostic accuracy was 52. 17%. Seven patients were performed DBE and underwent operations. The results of DBE and operations were the same in 4 of 7 pa- tients. The accuracy rate of etiological diagnosis was 57. 14%. The lesions could be detected in 14 of 23 patients by DBE. In- cluding mesenchymoma in 3 patients, intestinal vascular malformation in 3 patients, small ulcer in 2 patients, diverticulum in 1 patients, mueosal erosion in 1 patients, polyps in 1 patients, nonspecific inflammation in 1 patients, Crohn＇s disease in 1 pa- tient, aneylostomiasis in 1 patient, no obvious abnormalities in 9 patients. Conclusion OGIB usually happens in the young and middle - aged male. Small intestine mesenchymoma and intestinal vascular malformation were the first caution of OGIB. DBE has higher clinical diagnostic value for OGIB.
出处
《临床合理用药杂志》
2013年第12期78-79,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
不明原因消化道出血
双气囊小肠镜
诊断
Obcsure gastrointestinal bleeding
Double -balloon endoscopy
Diagnosis
