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目的评价双气囊电子小肠镜在小肠疾病诊断、治疗及制定下一步诊疗计划方面的价值。方法 2003年7月至2008年7月临床考虑小肠疾病患者147例进行双气囊电子小肠镜检查,经口进镜54例,经肛进镜22例,双侧进镜71例。24例1患者行小肠镜下治疗,57例患者经小肠镜诊断明确后行药物或外科手术治疗。结果双气囊电子小肠镜的总检出率为78.2%,前两位病因分别为克罗恩病(17.4%)和小肠间质瘤(15.7%)。24例患者进行了27次小肠镜下治疗,包括息肉切除7次,所有息肉切除成功;止血治疗20次,18例止血成功,2例止血失败。无穿孔、出血等严重并发症。结论双气囊电子小肠镜对小肠疾病检出率高,镜下治疗安全有效,有利于制定下一步诊疗计划。
Objective To evaluate the value of dual balloon enteroscopy in the diagnosis and treatment of small intestine disease and the formulation of next diagnosis and treatment plan. Methods From July 2003 to July 2008, 147 patients with small bowel diseases were enrolled in this study. Double balloon pneumonography was performed in 147 patients. There were 54 patients who underwent oral enteroscopy, 22 patients who underwent anal enteroscopy and 71 patients who had bilateral enteroscopy. 24 cases of 1 patients underwent enteroscopy microscopy, 57 patients diagnosed by the small bowel after a clear medical or surgical treatment. Results The total detection rate of double balloon enteroscopy was 78.2%. The first two causes were Crohn’s disease (17.4%) and small intestinal stromal tumor (15.7%). Twenty-four patients underwent 27 small bowel procedures including polyp excision seven times, all polyps successfully resected, hemostasis 20, 18 hemostasis, and two failed hemostasis. No perforation, bleeding and other serious complications. Conclusions Double balloon enteroscopy has a high detection rate of small intestine disease and safe and effective microscopic treatment, which is helpful to make the next diagnosis and treatment plan.