双气囊电子小肠镜诊断小肠疾病价值分析

发布时间：2018-06-03 10:23

本文选题：内窥镜检查 + 胃肠道　；参考：《中国全科医学》2015年03期

【摘要】：目的探讨双气囊电子小肠镜诊断小肠疾病的价值。方法收集2006年6月—2013年2月广东省人民医院接受双气囊电子小肠镜检查的患者116例,回顾性分析其小肠镜检查结果。结果 116例患者在异丙酚麻醉/镇静状态下共进行127例次小肠镜检查,包括经口检查68例,经肛门检查37例,双向入镜检查11例,检查成功率为99.2%(126/127)。小肠疾病阳性检出率为87.9%(102/116),位居前5位分别为克罗恩病(35例,30.2%)、小肠恶性肿瘤(23例,19.8%)、小肠糜烂溃疡性炎症(16例,13.8%)、小肠良性肿瘤(9例,7.8%)和小肠血管畸形(5例,4.3%)。少数患者于检查结束完全清醒后诉轻微的咽喉部不适、肛周不适或腹胀,均可自行缓解。结论双气囊电子小肠镜检查成功率高,对小肠疾病阳性检出率高,相对安全可靠,对小肠疾病诊断价值高。
[Abstract]:Objective to evaluate the value of double balloon endoscopy in the diagnosis of intestinal diseases. Methods from June 2006 to February 2013, 116 patients underwent double balloon endoscopy in Guangdong Provincial people's Hospital were retrospectively analyzed. Results A total of 127 small bowel examinations were performed in 116 patients under propofol anesthesia / sedation, including oral examination in 68 cases, transanal examination in 37 cases and bidirectional endoscopy in 11 cases. The successful rate of examination was 99.2 / 126 / 127. The positive rate of intestinal disease was 87.9 / 102 / 116, and the top 5 were Crohn's disease in 35 cases (30.2%), small intestinal malignant tumor in 23 cases (19. 8%), intestinal erosion and ulcerative inflammation in 16 cases (13. 8%), intestinal benign tumor in 9 cases (7. 8) and small intestinal vascular malformation in 5 cases (4. 3%). A few patients complained of slight pharynx discomfort, perianal discomfort or abdominal distension after complete wakefulness. Conclusion double balloon electronic enteroscopy has a high success rate, a high positive rate for small bowel disease, relatively safe and reliable, and a high value in the diagnosis of small bowel disease.
【作者单位】：广东省人民医院(广东省医学科学院)消化科;
【基金】：国家自然科学基金资助项目(81001112) 广州市科技局珠江科技新星项目资助(2012J2200019)
【分类号】：R574.5

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