CAJ | 학술논문

目的评价双气囊内镜对小肠疾病的诊断价值.方法 2007年7月至2009年11月,对141例拟诊或需排除小肠疾病的患者在静脉麻醉下进行小肠镜检查,59例单纯经口进镜,46例单纯经肛门进镜,36例经口和肛门两次进镜.结果 141例患者中发现小肠疾病105例,检出率为74.5%.其中良恶性肿瘤32例,克罗恩病14例,小肠非特异性炎症17例,小肠息肉15例,小肠憩室16例,小肠血管病变9例,肠结核3例,小肠钩虫病1例.检查过程中有1例并发胰腺炎,余未发生明显并发症.结论双气囊内镜能安全快速地检查全小肠,并能准确地诊断各种小肠疾病.
목적 평개쌍기낭내경대소장질병적진단개치.방법 2007년7월지2009년11월,대141례의진혹수배제소장질병적환자재정맥마취하진행소장경검사,59례단순경구진경,46례단순경항문진경,36례경구화항문량차진경.결과 141례환자중발현소장질병105례,검출솔위74.5%.기중량악성종류32례,극라은병14례,소장비특이성염증17례,소장식육15례,소장게실16례,소장혈관병변9례,장결핵3례,소장구충병1례.검사과정중유1례병발이선염,여미발생명현병발증.결론 쌍기낭내경능안전쾌속지검사전소장,병능준학지진단각충소장질병.
Objective To assess the diagnostic value of double balloon enteroscopy (DBE) for sus-pected intestinal diseases. Methods The data of 141 patients with suspected intestinal diseases, who un-derwent DBE with intravenous sedation from July 2007 to November 2009, were retrospectively analyzed. Oral and anal routes DBE were performed in 59 and 46 patients, respectively, while 36 patients underwent a com-bination of both approaches. Results The overall diagnostic yield of DBE was 74.5% (105/141), with benign and malignant tumors in 32, Crohn's disease in 14, non-specific enteric inflammation in 17, polyp in 15, diverticulosis in 16, vascular lesions in 9, intestinal tuberculosis in 3 and intestinal ancylostomiasis in 1. Acute pancreatitis was complicated in 1 patient. Conclusion DBE is a safe and effective method in di-agnosis of suspected intestinal diseases.