内镜下不同阑尾内口分型之间小肠细菌过度生长情况的比较

Analysis of small intestinal bacterial overgrowth under different endoscopic appendices

摘要:

摘要：目的 探讨内镜下不同形态阑尾内口的小肠细菌过度生长（SIBO）情况。方法 从门诊健康体检人群中筛选出153例，进行葡萄糖氢呼气试验检查，记录SIBO情况，并进行结肠镜检查，记录阑尾内口形态，依据结肠镜下阑尾内口形态分为漏斗型、膜样型和裂隙型3组，将3组人群的SIBO情况进行对比分析。结果 ①体检人群中阑尾内口形态比例：漏斗型63.4%（97/153）>膜样型22.2%（34/153）>裂隙型14.4%（22/153）；②漏斗型组人群SIBO阳性率明显高于膜样型组和裂隙型组，差异有统计学意义（P <0.01）；③膜样型组人群SIBO阳性率明显高于裂隙型组，两者比较差异有统计学意义（P <0.01）。结论 内镜下阑尾内口形态比例漏斗型远高于膜样型和裂隙型，临床上应高度重视阑尾内口漏斗型人群有易并发SIBO的可能。

Abstract:

Abstract: Objective To investigate the excessive growth of intestinal bacteria in the internal orifice of different types of appendix under endoscopy. Methods 153 cases were screened from outpatient health checkups. Glucose hydrogen breath test was performed to record the bacterial overgrowth of the small intestine. Colonoscopy was performed to record the shape of the appendix, which was divided into the shape of the appendix. Funeral, membrane-like, and fissure-type three groups were used to compare the growth of intestinal bacteria in three groups. Results Proportion of the shape of the appendix in the physical examination population: funnel type 63.4% (97/153) > membrane type 22.2% (34/153) > fissure type 14.4% (22/153); The positive rate of intestinal bacterial overgrowth in the funnel-type group was much higher than that in the membrane-type group and the fracture-type group, and the difference was significant (P < 0.01); The positive rate of intestinal bacterial overgrowth in the membrane-type group was higher than that in the fracture group, and the difference was significant (P < 0.01). Conclusions The endoscopic shape of the appendix is much higher than that of the membrane type and fissure type. It is clinically important to pay attention to the possibility that the funnel of the appendix can easily coexist with intestinal bacteria.