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目的:评价单气囊小肠镜对小肠疾病的诊断价值及其安全性。方法:对26例疑患小肠疾病患者进行单气囊小肠镜检查,13例患者接受双侧进镜检查,单纯经口进镜4例,经肛进镜9例。结果:26例患者中检出阳性病变20例,检出率为76.9%,其中非特异性小肠炎症5例,血管畸形2例,息肉3例,小肠淋巴瘤3例,憩室1例,肠结核1例,小肠孤立性溃疡2例,克罗恩病2例,小肠腺癌1例。不明原因消化道出血患者病变检出80%(12/15),其他临床症状患者病变检出率为72.7%(8/11)。结论:单气囊小肠镜诊断小肠疾病准确可靠。
Objective: To evaluate the diagnostic value and safety of single-balloon enteroscopy for small bowel disease. Methods: Twenty-six patients with suspected intestinal diseases were examined by single-balloon enteroscopy. Thirteen patients underwent bilateral endoscopic examination. Four patients underwent oral enteroscopy alone and 9 patients underwent anal enteroscopy. Results: Twenty cases of positive lesions were detected in 26 cases, the detection rate was 76.9%, including 5 cases of nonspecific intestinal inflammation, 2 cases of vascular malformations, 3 cases of polyps, 3 cases of small intestinal lymphoma, 1 case of diverticulum, 1 case of intestinal tuberculosis Cases, isolated small intestine ulcer in 2 cases, Crohn’s disease in 2 cases, 1 case of small bowel adenocarcinoma. Patients with unexplained gastrointestinal bleeding detected 80% (12/15), other clinical symptoms in patients with pathological detection rate was 72.7% (8/11). Conclusion: The diagnosis of intestinal diseases by single-balloon enteroscopy is accurate and reliable.