CAJ | 학술논문

目的探讨≥75岁老年人行双气囊小肠镜(DBE)检查的诊断价值、安全性及对治疗策略的影响. 方法收集武汉大学人民医院消化内科2010年1月至2013年1月行DBE检查的老年人292例临床资料及检查结果,并与对照组250例进行比较. 结果 ≥75岁老年人DBE检查诊断率、并发症发生率、对治疗策略的影响率分别为69.0％(29/42)、0％ (0/42)、76.2％(32/42),与对照组比较差异均无统计学意义(P＞0.05).老年人不明原因消化道出血主要病因为肿瘤(30.0％,9/30)和溃疡(16.7％,5/30),而血管扩张(6.7％,2/30)则相对少见. 结论 DBE是一种安全、有效的诊断老年人小肠疾病的检查方法,本组老年人不明原因消化道出血病因以肿瘤最为常见,而血管扩张并不常见.
목적 탐토≥75세노년인행쌍기낭소장경(DBE)검사적진단개치、안전성급대치료책략적영향. 방법 수집무한대학인민의원소화내과2010년1월지2013년1월행DBE검사적노년인292례림상자료급검사결과,병여대조조250례진행비교. 결과 ≥75세노년인DBE검사진단솔、병발증발생솔、대치료책략적영향솔분별위69.0％(29/42)、0％ (0/42)、76.2％(32/42),여대조조비교차이균무통계학의의(P＞0.05).노년인불명원인소화도출혈주요병인위종류(30.0％,9/30)화궤양(16.7％,5/30),이혈관확장(6.7％,2/30)칙상대소견. 결론 DBE시일충안전、유효적진단노년인소장질병적검사방법,본조노년인불명원인소화도출혈병인이종류최위상견,이혈관확장병불상견.
Objective To investigate the safety,diagnostic value and clinical impact of double balloon enteroscope (DBE) in elderly patients (aged ≥75 years).Methods Clinical data and DBE findings of elderly patients in the Department of Gastroenterology in Remin Hospital of Wuhan University from January 2010 to January 2013 were retrospectively analyzed and compared with those of younger patients.Results The diagnostic rate,complication rate and clinical impact rate were 69.0％ (29/42),0％ (0/42) and 76.2％ (32/42) in elderly patients.There were no statistically significant differences on those parameters between elderly patients and younger patients (all P＞0.05).For elderly patients,the leading causes of obscure gastrointestinal bleeding (OGIB) were tumor (30.0 ％,9/30) and ulcer (16.7 ％,5/30),while angiectasis (6.7 ％,2/30) was uncommon.Conclusions DBE is an effective and safe method for diagnosis of small bowel disease in elderly patients.Tumor is the most common cause of OGIB,while angiectasis was uncommon.