小肠出血患者行双气囊小肠镜检查的时间选择

发布时间：2018-04-14 21:19

本文选题：双气囊小肠镜检查 + 时间选择　；参考：《中国内镜杂志》2015年12期

【摘要】：目的探讨双气囊小肠镜检查(DBE)对小肠出血患者的诊断时间选择。方法系统回顾分析2010年1月-2014年10月该院消化科收治的可疑小肠出血患者121例临床资料,按照检查时间的不同分为A组(24 h内行DBE),B组(24~48 h内行DBE)和C组(48 h以后行DBE),收集整理3组患者的检查结果,并进行统计学分析及比较。结果 121例小肠出血患者全部接受DBE检查,发现病变60例,病变总检出率为49.59%。A组病变检出率为67.50%(27/40),明显高于C组的病变检出率39.13%(18/46),差异有统计学意义(P=0.009);同时A组也高于B组的病变检出率42.86%(15/35),差异有统计学意义(P=0.032)。而B组的病变检出率与C组相比,差异无统计学意义(P=0.735)。24 h内的行DBE检查的平均检查时间明显短于24~48 h内行DBE和48 h以后行DBE,差异有统计学意义;而24~48 h行DBE的平均检查时间与48 h以后行DBE差异不大,差异无统计学意义。结论对于小肠出血患者,在24 h内行DBE的检查是安全、可行并且有效的,与24 h后DBE相比,检查时间更短,病变检出率更高。条件合适时,对小肠出血患者可尽早行双气囊小肠镜检查。
[Abstract]:Objective to evaluate the diagnostic time of double balloon enteroscopy (DBE) in patients with small intestinal hemorrhage.Methods from January 2010 to October 2014, 121 patients with suspected small intestinal hemorrhage were analyzed retrospectively.According to the time of examination, the patients in group A were divided into two groups: group A received DBE within 24 h and group C received DBE within 48 h. The results of the three groups were collected and compared.Results all the 121 cases of small intestinal hemorrhage were examined by DBE and 60 cases were found to have pathological changes.The total detectable rate of lesions in group A was 67.50 / 40, which was significantly higher than that in group C (39.1318 / 46), the difference was statistically significant, and that in group A was higher than that in group B (42.86 / 35 / 35), the difference was statistically significant (P0.032).The detection rate of DBE in group B was significantly shorter than that in group C within 24 hours (P < 0. 735) and after 48 hours (P < 0. 735).However, there was no significant difference in the average examination time between 24 h and 48 h after DBE and DBE after 48 h, and there was no significant difference between the two groups.Conclusion DBE is safe, feasible and effective in patients with small intestinal hemorrhage within 24 hours. Compared with DBE after 24 hours, the examination time is shorter and the detection rate of lesions is higher.When conditions are appropriate, double balloon enteroscopy can be performed as soon as possible for patients with small intestinal hemorrhage.
【作者单位】：南华大学第一附属医院消化内科;
【分类号】：R574.5

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