摘要
目的探讨双气囊小肠镜在小肠克罗恩病诊断中的作用。方法对28例疑有小肠疾病者行双气囊小肠镜检查,分析双气囊小肠镜检查对小肠疾病,尤其是小肠克罗恩病的检出率、诊断准确性、患者依从性和不良反应发生率等。结果28例中,小肠病变总检出率为71.43%(20/28),小肠克罗恩病检出率为21.43%(6/28),占所有检出病变的30%(6/20)。6例双气囊小肠镜检查判断为克罗恩病者中,结合病理、治疗效果和临床随访,6例均确诊为克罗恩病,诊断准确率为100%(6/6)。结论双气囊小肠镜检查是一项针对小肠疾病安全、有效的检查方法,是诊断小肠克罗恩病较为理想的方法。
Objective To evaluate the role of double-balloon enteroscopy in diagnosis of small intestinal Crohn＇ s disease. Methods 28 patients were examined for suspected small intestinal diseases by double-ballon enteroscopy. The detection rates of small intestinal abnormalities, especially Crohn＇ s disease, and diagnostic accruacy, tolerance, and frequency of adverse events of double balloon enteroscopy were then evaluated. Results The overall detection rate of small intestinal diseases was 71.43 % （20/28）. The detection rate of small intestinal Crohn＇ s disease was 21.43% （6/28） which accounted for 30% （6/20） of all detected small intestinal abnormalities. 6 patients with Crohn＇ s disease diagnosed by double-balloon enteroscopy were ultimately confirmed by pathological examination therapy effect and clinic follow-up. The accuracy was 100%. Conclusion Double-balloon enterscopy appears to be a safe and effective method in the diagnosis of small intestinal diseases and also to be a ideal method in the diagnosis of small intestinal Crohn＇ s disease.
出处
《临床消化病杂志》
2009年第2期94-96,共3页
Chinese Journal of Clinical Gastroenterology
关键词
小肠
克罗恩病
双气囊小肠镜
诊断
Intestine small
Crohn＇ s disease
Double-balloon enteroscopy
Diagnosis
