CAJ | 학술논문

目的：评价单气囊小肠镜(single balloon enteroscopy, SBE)对老年人小肠疾病的诊断价值。方法对怀疑有小肠疾病的61例老年患者（男37例，女24例）在麻醉状态下行72例次(经口46例次，经肛26例次)SBE检查。与同期检查的345例非老年人进行比较。结果61例均能耐受检查，检出阳性率为62.3%（38/61），SBE检查时间（55.93±14.39） min，插镜深度（197.6±101.2）cm。检出的主要病变有：小肠溃疡（8例）、小肠炎性改变（7例）、小肠癌（6例）、小肠憩室（5例）、小肠间质瘤（4例）、小肠血管扩张症（3例）。对3例患者行镜下治疗。与同期检查的非老年人比较，老年人小肠溃疡、小肠癌及血管扩张症的检出率较高（P＜0.05）。结论 SBE对老年人小肠疾病有较高的诊断率，是一种安全可靠的诊疗手段。
목적：평개단기낭소장경(single balloon enteroscopy, SBE)대노년인소장질병적진단개치。방법대부의유소장질병적61례노년환자（남37례，녀24례）재마취상태하행72례차(경구46례차，경항26례차)SBE검사。여동기검사적345례비노년인진행비교。결과61례균능내수검사，검출양성솔위62.3%（38/61），SBE검사시간（55.93±14.39） min，삽경심도（197.6±101.2）cm。검출적주요병변유：소장궤양（8례）、소장염성개변（7례）、소장암（6례）、소장게실（5례）、소장간질류（4례）、소장혈관확장증（3례）。대3례환자행경하치료。여동기검사적비노년인비교，노년인소장궤양、소장암급혈관확장증적검출솔교고（P＜0.05）。결론 SBE대노년인소장질병유교고적진단솔，시일충안전가고적진료수단。
ObjectiveTo evaluate the clinical value of single balloon enteroscopy (SBE) in the diagnosis of small intestinal disease in senile people.MethodsA total of 61 senile patients (male 37, female 24) with suspected small intestinal diseases underwent 72 cases of SBE examination (46 cases for oral approach, 26 cases for anal approach), while, checked against the analysis of 345 cases of young patients during the same period.Results61 senile patients were able to tolerate checks. Positive detection rate of gastrointestinal bleeding of senile people was 62.3%(38/61).The procedure time of SBE was (55.93±14.39) min, and the intubation depth was (197.6±101.2) cm. The main lesion detections were small intestinal ulcer (8 cases), small intestinal inflammatory changes (7 cases), small intestine cancer (6 cases), small intestinal diverticulum (5 cases), small intestinal interstitialoma (4 cases), vascular dilatation (3 cases). 3 patients underwent endoscopic therapy. Significant difference was found in small intestine ulcer, small intestine cancer and vascular dilatation in the elderly compared with the young.ConclusionSBE had a higher diagnostic yield of small intestinal diseases in senile people, and was a safe and reliable method for diagnosis and treatment of intestinal diseases.