双气囊小肠镜对小肠疾病诊断的临床价值分析

Double-balloon enteroscopy in diagnosis of small intestinal disease

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 explore the clinical value of double-balloon enterocopy (DBE) in diagnosis of small intestinal diseases. Methods The clinical and endoscope image data of 231 patients with suspected small bowel disease who underwent DBE from January 2008 to May 2016 were analyzed. Result 231 patients received 257 times of DBE examination, 112 of them were performed by oral and 93 by anal route, 26 patients were underwent by both approaches. The detection rate of intestine diseases was 64.9% (150/231), include 33 cases (14.3%) of nonspecific enteritis, 27 cases (11.7%) of crohn’s disease, 19 cases (8.2%) of ulcer, 13 cases (5.6%) of intestinal vascular malformation, 12 cases (5.2%) of small intestinal stromal tumor. The lesion detection rate in obscure abdominal pain and obscure gastrointestinal bleeding were 59.6% (62/104) and 67.0% (63/94). In all patients, there were 1 case of small bowel perforation, the remaining patients had no serious complications such as bleeding and perforation. Conclusion The positive detection rate of double-balloon enteroscopy examination is high, and the double-balloon enteroscopy examination is relatively safe. So, double-balloon enterscopy examination has high diagnostic value for detecting small intestine diseases.