摘要
目的探讨双气囊内镜（DBE）在中消化道疾病诊断中的应用价值。方法对53例行DBE检查的疑似中消化道疾病患者的临床资料进行回顾性分析，总结病变检出情况以及并发症、不良反应发生情况。结果53例均顺利完成DBE检查，其中单纯经口进镜者26例、单纯经肛进镜者9例、经口＋经肛进镜者18例，共46例（86．79％）发现病变，包括上消化道病变3例（5．66％）、中消化道病变41例（77．36％）和下消化道病变2例（3．77％）。53例患者均能耐受麻醉及内镜检查，无一例发生消化道出血、穿孔、肠道扭转、肠系膜撕裂、胰腺炎等严重并发症，亦未出现麻醉相关的并发症及意外。部分患者术中出现腹部胀气、一过性腹痛；经口进镜者术中出现不同程度的咽喉部不适或少量鼻腔出血；1例术中因外套管根部硅胶管与气管插管摩擦松脱形成嵌顿，放气并拔出气管插管后松解；术后1d有2例出现轻微腹泻伴低热，于48h内自然缓解。结论DBE在中消化道疾病的诊断中具有较好的临床价值，安全性较高。
Objective To study the diagnostic value of double balloon endoscopy （DBE） for gastro- intestinal disease. Methods Clinical data of 53 patients with suspected intermediate gastrointestinal diseases who underwent DBE procedures were retrospectively analyzed for detection rate, complications and the incidence of adverse reactions. Results All of 53 patients underwent successful DBE, Procedures were per- formed via mouth （n =26）, anus （n = 9）and the combined routes （n = 18）. And definite diagnosis was made in 46 cases （86. 79% ）, including upper gastrointestinal （above ligament of Treitz） disease in 3 cases （5.66%）, intermediate gastrointestinal disease in 41 cases （77.36%） and lower gastrointestinal disease in 2 cases （3.77%）. All 53 patients were tolerant to the operation and anesthesia. No severe complications like bleeding, perforation, intestinal torsion, mesenteric tear, pancreatitis or anesthetic accident occured. Several patients showed abdominal flatulence, transient abdominal pain. Some patients in oral route reported slight throat discomfort or slight nasal bleeding. Incarceration occurred in 1 case due to friction of endotracheal intubation and the silicone tube, which was released after deflation and removed out. 2 patients showed mild diarrhea with low fever, and the symptoms were self-healing without special treatment in 48 h. Conclusion DBE is of high diagnostic value for gastrointestinal diseases with a high safety.
出处
《中华消化内镜杂志》
2012年第3期148-150,共3页
Chinese Journal of Digestive Endoscopy
关键词
诊断
双气囊内镜
中消化道疾病
Diagnosis
Double balloon endoscopy
Intermediate gastrointestinal disease
