摘要
目的评价双气囊电子小肠镜对小肠疾病的诊断价值。方法对2005年6月￣12月32例有消化系统症状,胃镜、结肠镜及全消化道造影等检查阴性的患者,进行双气囊电子小肠镜检查,根据患者病情决定经口或肛门进镜,经口进镜9例,其中6例麻醉状态下进镜,经肛进镜23例,进镜前肌注654-210mg,安定10mg。结果双气囊电子小肠镜检查发现小肠阳性病变26例,阳性检出率81.25%,其中小肠Crohn病6例,小肠肿瘤5例,小肠血管畸形2例,小肠毛细血管扩张征5例,小肠炎4例,回肠多发溃疡1例,回肠憩室并出血2例,空肠脂肪瘤1例。黑便查因阳性率100(%11/11),呕吐查因阳性率100(%4/4),腹痛查因阳性率43.75%(7/16),腹胀查因阳性率(00/1),无明显并发症。结论双气囊电子小肠镜对小肠疾病的阳性检出率高,并且是一直视检查方法,是目前诊断和治疗小肠疾病的最好方法之一,但操作难度较大,有一定的并发症。
[Objective] To evaluate double-balloon video entoroscopy（DBE） in small bowel disease. [Method] From June to August 2005, 32 patients with presentation of gastrointestinal upset and underwent a previous negative gastroscopy, colonoscopy, gastrointestinal barium and /or angiography were enrolled in this study. According to the sufferer condition decided enteroscopy via oral or rectum, 9 of 32 patients were done by enteroscopy via oral, 6 among those examples were done by anaesthesia, and 23 of 32 patients were done by enteroscopy via rectum. 32 patients were injected by muscle with 654-2 10 mg and Diazapam 10 mg. [Results] Positive diagnostic yield was in 26 patients（81.25%）. Theses disorder included small intestines crohn＇s disease （6/32）, small intestines tumor （5/32）, arteriovenous malformation（2/32）, small intestines capillarectasia Syndro,ne （5/32）, small enteritis （4/32）, ilenum multiple ulcerations（1/32）, ilenum diverticular （2/32）, and jejunum liparomphalus （1/32）. Positive diagnosis of the cause of Melena was 100%（11/11）, Positive diagnosis of the cause of vontit was 100% （4/4）, Positive diagnosis of the cause of abdominal pain was 43.75%（7/16）, Positive diagnosis of the cause of the abdominal distension was 0.（0/1）, there were no obvious complications. [Conclusion] Positive diagnosis rate is high in double-balloon video entoroscopy with a direct ,ncthod. It is one of the best methods to diagnose and treat the small intestines diseases currently, but the operation is difficulty and tends to have complications.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第3期276-277,281,共3页
China Journal of Endoscopy
关键词
电子小肠镜
小肠疾病
诊断
video entoroscopy
small bowel disease
diagnosis
