胃肠病学
胃腸病學
위장병학
Chinese Journal of Gastroenterology
2015年
10期
616-618
,共3页
倪阵%陈虹彬%吕勇%刘炼炼%徐辉
倪陣%陳虹彬%呂勇%劉煉煉%徐輝
예진%진홍빈%려용%류련련%서휘
单气囊小肠镜%小肠疾病%诊断%治疗
單氣囊小腸鏡%小腸疾病%診斷%治療
단기낭소장경%소장질병%진단%치료
Single-Balloon Enteroscopy%Small Intestinal Diseases%Diagnosis%Therapy
背景:单气囊小肠镜(SBE)作为一种较新的小肠检查手段,在可疑小肠疾病中的临床价值需进一步探讨。目的:评价 SBE 在可疑小肠疾病诊疗中的价值。方法:回顾性总结2011年7月-2013年10月成都军区总医院接受SBE 检查的73例患者共81例次检查的资料,分析 SBE 的适应证以及对可疑小肠疾病的诊断和治疗效果。结果:81例次 SBE 检查中,不明原因消化道出血33例次(40.7%),不全性肠梗阻29例次(35.8%),慢性腹痛或腹泻19例次(23.5%)。SBE 经口插镜深度平均为230 cm,经肛平均为100 cm。SBE 的阳性诊断率为67.9%,检出病变主要包括小肠溃疡、小肠炎症、小肠肿瘤和小肠息肉等。镜下治疗8例,其中止血治疗5例,息肉切除3例。无严重并发症发生。结论:SBE 是可疑小肠疾病的有效诊疗手段,其主要适应证为不明原因消化道出血和不全性肠梗阻。
揹景:單氣囊小腸鏡(SBE)作為一種較新的小腸檢查手段,在可疑小腸疾病中的臨床價值需進一步探討。目的:評價 SBE 在可疑小腸疾病診療中的價值。方法:迴顧性總結2011年7月-2013年10月成都軍區總醫院接受SBE 檢查的73例患者共81例次檢查的資料,分析 SBE 的適應證以及對可疑小腸疾病的診斷和治療效果。結果:81例次 SBE 檢查中,不明原因消化道齣血33例次(40.7%),不全性腸梗阻29例次(35.8%),慢性腹痛或腹瀉19例次(23.5%)。SBE 經口插鏡深度平均為230 cm,經肛平均為100 cm。SBE 的暘性診斷率為67.9%,檢齣病變主要包括小腸潰瘍、小腸炎癥、小腸腫瘤和小腸息肉等。鏡下治療8例,其中止血治療5例,息肉切除3例。無嚴重併髮癥髮生。結論:SBE 是可疑小腸疾病的有效診療手段,其主要適應證為不明原因消化道齣血和不全性腸梗阻。
배경:단기낭소장경(SBE)작위일충교신적소장검사수단,재가의소장질병중적림상개치수진일보탐토。목적:평개 SBE 재가의소장질병진료중적개치。방법:회고성총결2011년7월-2013년10월성도군구총의원접수SBE 검사적73례환자공81례차검사적자료,분석 SBE 적괄응증이급대가의소장질병적진단화치료효과。결과:81례차 SBE 검사중,불명원인소화도출혈33례차(40.7%),불전성장경조29례차(35.8%),만성복통혹복사19례차(23.5%)。SBE 경구삽경심도평균위230 cm,경항평균위100 cm。SBE 적양성진단솔위67.9%,검출병변주요포괄소장궤양、소장염증、소장종류화소장식육등。경하치료8례,기중지혈치료5례,식육절제3례。무엄중병발증발생。결론:SBE 시가의소장질병적유효진료수단,기주요괄응증위불명원인소화도출혈화불전성장경조。
Background:Single-balloon enteroscopy(SBE)is a new method for the examination of small intestine,its clinical value in suspected small intestinal diseases need to be further studied. Aims:To evaluate the diagnostic and therapeutic value of SBE in suspected small intestinal diseases. Methods:A total of 73 suspected small intestinal diseases patients who had undergone 81 SBE examinations from July 2011 to October 2013 at Chengdu Military General Hospital were retrospectively examined,indications,diagnostic and therapeutic value of SBE in suspected small intestinal diseases were analyzed. Results:Of all the 81 examinations,33(40. 7% )were obscure gastrointestinal bleeding,29(35. 8% ) incomplete intestinal obstruction,and 19(23. 5% )chronic abdominal pain or diarrhea. The intubation depth was 230 cm for the oral approach,and 100 cm for the anal approach. The diagnostic yield of SBE was 67. 9% ,the main lesions were small intestinal ulcer,small intestinal inflammation,small intestinal tumor,small intestinal polyp. A total of 8 patients underwent endoscopic therapy,of whom 5 underwent endoscopic hemostatic therapy and 3 underwent resection of polyp. No serious complications were found. Conclusions:SBE is a safe and reliable diagnostic and therapeutic method for suspected small intestinal diseases,and its main indications are obscure gastrointestinal bleeding and incomplete intestinal obstruction.