双气囊小肠镜对小肠疾病诊断的临床价值分析

发布时间：2019-05-21 16:48

【摘要】：目的探讨双气囊小肠镜(DBE)对于小肠疾病诊断的临床应用价值。方法选取2008年1月-2016年5月广西医科大学第一附属医院收治的231例疑似小肠疾病且行DBE检查的患者。记录检查所见、诊断结果及并发症等情况。结果 231例患者共行257次小肠镜检查,包括经口检查112例,经肛检查93例,双向入镜检查26例。小肠疾病检出阳性率64.9%(150/231)。其中,非特异性肠炎33例,占总病例数的14.3%,克罗恩病27例(11.7%),溃疡19例(8.2%),血管病变13例(5.6%),间质瘤12例(5.2%)。腹痛104例,确诊62例,阳性率59.6%(62/104),不明原因消化道出血94例,确诊63例,阳性率67.0%(63/94)。所有患者中,有1例出现小肠穿孔,其余患者均无严重并发症出现。结论 DBE对小肠疾病阳性检出率高,相对安全可靠,对临床疑似小肠疾病患者的诊断和治疗具有一定的临床应用价值。
[Abstract]:Objective to evaluate the clinical value of double balloon enteroscopy (DBE) in the diagnosis of small intestinal diseases. Methods from January 2008 to May 2016, 231 patients with suspected small intestinal diseases were enrolled in the first affiliated Hospital of Guangxi Medical University. The findings, diagnostic results and complications were recorded. Results A total of 257 enteroscopy was performed in 231 patients, including 112 cases by oral examination, 93 cases by anus and 26 cases by bidirectional endoscopy. The positive rate of small intestinal diseases was 64.9% (150 鈮，

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