中华胃肠外科杂志
中華胃腸外科雜誌
중화위장외과잡지
CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
2013年
5期
434-438
,共5页
赵亮%丁一娟%于红刚%邓涛%刘军%罗和生%罗建飞%谭海燕%童仕伦
趙亮%丁一娟%于紅剛%鄧濤%劉軍%囉和生%囉建飛%譚海燕%童仕倫
조량%정일연%우홍강%산도%류군%라화생%라건비%담해연%동사륜
双气囊小肠镜%不明原因消化道出血%年龄%病因诊断
雙氣囊小腸鏡%不明原因消化道齣血%年齡%病因診斷
쌍기낭소장경%불명원인소화도출혈%년령%병인진단
Double balloon enteroscope%Obscure gastrointestinal bleeding%Age%Etiological diagnosis
目的 探讨不同年龄人群双气囊小肠镜(DBE)检查对不明原因消化道出血(OGIB)的诊断价值.方法 回顾性分析2007年1月至2012年1月间武汉大学人民医院消化内科和胃肠外科因OGIB行DBE检查的216例患者的临床资料.按年龄分为青年组(小于或等于40岁)86例,中年组(41～59岁)81例,老年组(大于或等于60岁)49例,比较不同年龄组患者DBE的病变检出情况.结果 青年组憩室-小肠重复畸形和克罗恩病的检出率分别为37.2％(32/86)和15.1％(13/86),明显高于中年组[16.0％(13/81)和9.9％(8/81),均P＜0.01]和老年组[10.2％(5/49)和0/49,均P＜0.01]；但其肿瘤检出率(12.8％,11/86)则明显低于中年组(30.9％,25/81)和老年组(22.4％,11/49)(均P＜0.01).3组患者DBE检查的诊断率分别为83.7％(72/86)、87.7％(71/81)和81.6％(40/49),差异无统计学意义(P＞0.05)；并发症发生率分别为1.2％(1/86)、2.5％(2/81)和2.0％(1/49),差异无统计学意义(P＞0.05).结论 DBE是一种安全、有效的诊断OGIB的检查方法,适用于各年龄人群.不同年龄人群OGIB病因具有各自特点,应根据这些特点制订有效的诊治策略.
目的 探討不同年齡人群雙氣囊小腸鏡(DBE)檢查對不明原因消化道齣血(OGIB)的診斷價值.方法 迴顧性分析2007年1月至2012年1月間武漢大學人民醫院消化內科和胃腸外科因OGIB行DBE檢查的216例患者的臨床資料.按年齡分為青年組(小于或等于40歲)86例,中年組(41～59歲)81例,老年組(大于或等于60歲)49例,比較不同年齡組患者DBE的病變檢齣情況.結果 青年組憩室-小腸重複畸形和剋囉恩病的檢齣率分彆為37.2％(32/86)和15.1％(13/86),明顯高于中年組[16.0％(13/81)和9.9％(8/81),均P＜0.01]和老年組[10.2％(5/49)和0/49,均P＜0.01]；但其腫瘤檢齣率(12.8％,11/86)則明顯低于中年組(30.9％,25/81)和老年組(22.4％,11/49)(均P＜0.01).3組患者DBE檢查的診斷率分彆為83.7％(72/86)、87.7％(71/81)和81.6％(40/49),差異無統計學意義(P＞0.05)；併髮癥髮生率分彆為1.2％(1/86)、2.5％(2/81)和2.0％(1/49),差異無統計學意義(P＞0.05).結論 DBE是一種安全、有效的診斷OGIB的檢查方法,適用于各年齡人群.不同年齡人群OGIB病因具有各自特點,應根據這些特點製訂有效的診治策略.
목적 탐토불동년령인군쌍기낭소장경(DBE)검사대불명원인소화도출혈(OGIB)적진단개치.방법 회고성분석2007년1월지2012년1월간무한대학인민의원소화내과화위장외과인OGIB행DBE검사적216례환자적림상자료.안년령분위청년조(소우혹등우40세)86례,중년조(41～59세)81례,노년조(대우혹등우60세)49례,비교불동년령조환자DBE적병변검출정황.결과 청년조게실-소장중복기형화극라은병적검출솔분별위37.2％(32/86)화15.1％(13/86),명현고우중년조[16.0％(13/81)화9.9％(8/81),균P＜0.01]화노년조[10.2％(5/49)화0/49,균P＜0.01]；단기종류검출솔(12.8％,11/86)칙명현저우중년조(30.9％,25/81)화노년조(22.4％,11/49)(균P＜0.01).3조환자DBE검사적진단솔분별위83.7％(72/86)、87.7％(71/81)화81.6％(40/49),차이무통계학의의(P＞0.05)；병발증발생솔분별위1.2％(1/86)、2.5％(2/81)화2.0％(1/49),차이무통계학의의(P＞0.05).결론 DBE시일충안전、유효적진단OGIB적검사방법,괄용우각년령인군.불동년령인군OGIB병인구유각자특점,응근거저사특점제정유효적진치책략.
Objective To investigate the diagnostic value of double balloon enteroscope (DBE)on obscure gastrointestinal bleeding(OGIB)and to analyze etiological characteristics among different age groups.Methods The clinical data of patients undergoing DBE due to OGIB in the Department of Gastroenterology in Renmin Hospital of Wuhan University from January 2007 to January 2012 were retrospectively analyzed and compared among different age groups.Patients were divided into the young group(age≤40,n=86),the middle age group(aged 41-59,n=81),and the elderly group (age ≥ 60,n=49).The detection of bleeding origin by DBE was compared between different age groups.Results Diagnosis rates in young,middle age,elderly group were 83.7％(72/86),87.7％(71/81),81.6％(40/49) without statistical differences(P＞0.05).Complication rates in the young,middle age,and elderly group were 1.2％(1/86),2.5％(2/81),2.0％(1/49) without statistic difference (P＞0.05).The most common cause in young group was diverticulum/replica malformation while the most common location was ileum.The most common cause in both middle age and elderly group was tumor.Conclusions DBE is an effective and safe method for diagnosis of OGIB among different age groups.Each age group has its etiological characteristics.Diagnosis and therapeutic strategy based on agerelated characteristics is worthy of further investigation.
