CAJ | 학술논문

目的评价单气囊小肠镜对于不明原因消化道出血的诊断价值.方法应用单气囊小肠镜对72例不明原因消化道出血患者进行78次检查,其中经口进镜40次,经肛进镜38次.记录检查时间、深度、阳性率.结果 40次单气囊小肠镜经口进镜检查用时15 ～ 110 min,平均60 min,插入深度为屈氏韧带远端30 ～ 240 cm,平均195 cm；38例次单气囊小肠镜经肛进镜检查用时30～120 min,平均75 min,插入深度为回盲瓣近端50～200 cm,平均160 cm;62.5％的患者发现足以解释患者出血原因的小肠病变.结论单气囊小肠镜对于不明原因消化道出血是安全、有效的.
목적 평개단기낭소장경대우불명원인소화도출혈적진단개치.방법 응용단기낭소장경대72례불명원인소화도출혈환자진행78차검사,기중경구진경40차,경항진경38차.기록검사시간、심도、양성솔.결과 40차단기낭소장경경구진경검사용시15 ～ 110 min,평균60 min,삽입심도위굴씨인대원단30 ～ 240 cm,평균195 cm；38례차단기낭소장경경항진경검사용시30～120 min,평균75 min,삽입심도위회맹판근단50～200 cm,평균160 cm;62.5％적환자발현족이해석환자출혈원인적소장병변.결론 단기낭소장경대우불명원인소화도출혈시안전、유효적.
Objective To investigate the diagnostic value of single balloon enteroscopy (SBE) for obscure gastrointestinal bleeding.Methods A total of 78 SBE procedures was conducted on 72 patients with obscure gastrointestinal bleeding,with 40 via oral route and 38 via anal route.The procedure time,insertion depth and rate of positive finding were recorded.Results For 40 SBE procedures performed via oral route,the mean procedure time was 60 minutes ( 15-110 minutes),and the mean insertion depth was 195 cm at the distal end of Trentz ligament (30-240 cm).For 38 SBE procedures performed via anus,the mean procedure time was 75 minuets (30-120 minutes),and the mean insertion depth was 160 cm at the proximal end of ileocecal valve (50-200 cm ).The whole diagnostic yield of obscure gastrointestinal bleeding was 62.5％.Conclusion SBE is a safe and useful tool for the diagnosis of obscure gastrointestinal bleeding.