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单气囊内镜的临床应用价值初步探讨

Single-balloon enteroscope in diagnosis of suspected lesions in small intestine
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摘要 目的初步评价单气囊内镜在小肠疾病诊治中的应用价值。方法回顾分析2009年2月-8月使用Olympus单气囊内镜检查23例临床怀疑小肠疾病患者的临床资料。接受检查患者包括消化道隐源性出血9例,腹痛7例,胶囊内镜检查发现可疑肿物4例,高度怀疑克罗恩病3例。结果23名患者共进行了34次单气囊内镜检查。内镜准备平均时间少于5min。经口途径的平均检查时间为(61±25)min,经肛途径的平均检查时间为(67±28)min。6名患者完成了全小肠检查。小肠病变的检出率为60.9%。无穿孔等严重并发症发生。结论单气囊内镜的准备及操作过程简单,而且能够安全的检查小肠。单气囊内镜可用于可疑小肠疾病的诊治。 Objective To evaluate the effectiveness of single balloon enteroscopy (SBE) in diagnosing of suspected lesions in small intestine. Methods Data of 23 patients with suspected small intestinal disease, who underwent SBE (Olympus) between February 2009 and August 2009, were retrospectively studied. A total of 34 procedures were performed in 23 patients. The indications for the examination were suspected obscure gastrointestinal bleeding ( n = 9) , abdominal pain ( n = 7) , suspected intestinal tumor revealed by capsule endoscopy (n = 4) , and Crohn disease (n = 3 ). Results The average preparation time of SBE was less than 5 minutes. The mean procedure time was 61 ± 25 minutes and 67 ± 28 minutes for the oral and anal routes, respectively. Examination of whole length of small intestine was achieved in 6 patients. The diagnostic rate of small-intestinal lesions was 60.9% , and no severe complications including perforation occurred. Conclusion SBE is safe and easy to prepare and perform, which can be a useful diagnostic and therapeutic tool for suspected small bowel disease.
出处 《中华消化内镜杂志》 北大核心 2009年第11期561-564,共4页 Chinese Journal of Digestive Endoscopy
关键词 小肠 单气囊内镜 Intestine,small Single balloon enteroscopy
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参考文献8

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