CAJ | 학술논문

目的探讨不明原因消化道出血(OGIB)患者行双气囊小肠镜检查(DBE)的最佳时机.方法回顾性分析盛京医院2009年1月至2013年11月间接受DBE检查的OGIB患者的临床资料,按检查时机的不同分为急诊DBE组和非急诊DBE组,整理两组患者的临床特征、DBE检查结果、检查时间和并发症,并进行统计学分析及比较.结果 78例OGIB患者接受DBE检查,发现病变48例,病变总检出率为61.54％.急诊DBE组病变检出率为77.14％ (27/35),明显高于非急诊DBE组的病变检出率48.83％ (21/43) (P =0.019).在检查时间方面,急诊DBE组明显短于非急诊组,差异有统计学意义(P=0.031).结论对于OGIB患者,急诊DBE的检查时间更短,病变检出率更高.条件允许时,对OGIB患者应尽早行DBE检查.
목적 탐토불명원인소화도출혈(OGIB)환자행쌍기낭소장경검사(DBE)적최가시궤.방법 회고성분석성경의원2009년1월지2013년11월간접수DBE검사적OGIB환자적림상자료,안검사시궤적불동분위급진DBE조화비급진DBE조,정리량조환자적림상특정、DBE검사결과、검사시간화병발증,병진행통계학분석급비교.결과 78례OGIB환자접수DBE검사,발현병변48례,병변총검출솔위61.54％.급진DBE조병변검출솔위77.14％ (27/35),명현고우비급진DBE조적병변검출솔48.83％ (21/43) (P =0.019).재검사시간방면,급진DBE조명현단우비급진조,차이유통계학의의(P=0.031).결론 대우OGIB환자,급진DBE적검사시간경단,병변검출솔경고.조건윤허시,대OGIB환자응진조행DBE검사.
Objective To investigate the optimal time for double balloon enteroscopy (DBE) in patients with obscure gastrointestinal bleeding (OGIB).Methods Data of 78 patients with OGIB who underwent DBE from January 2009 to November 2013 were retrospectively analyzed.They were classified into two groups:emergency DBE and non-emergency DBE.The demographic and clinical features and outcomes of DBE,the time of examination and complications were compared.Results The overall diagnostic yield of DBE was 48 lesions (61.54 ％).The overall diagnostic yield of emergency DBE group was 77.14％,which was significantly higher than that in non-emergency DBE group (48.83％) (P =0.019).The time of examination in emergency group was shorter than that of non-emergency group with significant difference (P =0.031).Conclusion Emergency DBE takes less time and yields a higher rate of detection.Patients withOGIB should receive DBE as soon as possible.