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双气囊内镜在中消化道疾病诊断中的应用价值研究

(2014-10-22 12:26:36)

    【摘要】
    目的 探讨双气囊内镜(DBE)在中消化道疾病诊断中的应用价值。

    方法 对53例行DBE检查的疑似中消化道疾病患者的临床资料进行回顾性分析,总结病变检出情况以及并发症、不良反应发生情况。

    结果 53例均顺利完成DBE检查,其中单纯经口进镜者26例、单纯经肛进镜者9例、经口+经肛进镜者18例,共46例(86.79%)发现病变,包括上消化道病变3例(5.66%)、中消化道病变41例(77.36%)和下消化道病变2例(3.77%)。53例患者均能耐受麻醉及内镜检查,无一例发生消化道出血、穿孔、肠道扭转、肠系膜撕裂、胰腺炎等严重并发症,亦未出现麻醉相关的并发症及意外。部分患者术中出现腹部胀气、一过性腹痛;经口进镜者术中出现不同程度的咽喉部不适或少量鼻腔出血;1例术中因外套管根部硅胶管与气管插管摩擦松脱形成嵌顿,放气并拔出气管插管后松解;术后1 d有2例出现轻微腹泻伴低热,于48 h内自然缓解。

    结论 DBE在中消化道疾病的诊断中具有较好的临床价值,安全性较高。
    【关键词】诊断;双气囊内镜;中消化道疾病


    Diagnostic value of double balloon endoscopy for gastrointestinal disease
    ZHAO Yun-feng*, ZHANG Li-yao, GAO Feng, YANG Zhuo, MA Shu-ren, ZHANG Ning, GONG Zhaojie. 〖MZ)〗 *Department of Endoscopy, The General Hospital of Shenyang Military Region, Shenyang 110016,China
    Corresponding author: MA Shuren,
    【Abstract】
    Objective  To study the diagnostic value of double balloon endoscopy (DBE) for gastrointestinal disease.

    Methods  Clinical data of 53 patients with suspected intermediate gastrointestinal diseases who underwent  DBE procedures were retrospectively analyzed for detection rate, complications and the incidence of adverse reactions.

    Results  All of 53 patients underwent successful DBE, Procedures were performed via mouth (n=26), anus (n=9)and  the combined routes (n=18). And definite diagnosis was made in 46 cases (86.79%), including  upper gastrointestinal (above ligament of Treitz) disease in 3 cases (5.66%), intermediate gastrointestinal disease in 41 cases (77.36%) and lower gastrointestinal disease in 2 cases (3.77%). All 53 patients were tolerant to the operation and anesthesia. No severe complications like bleeding, perforation, intestinal torsion, mesenteric tear, pancreatitis or anesthetic accident occured. Several patients showed abdominal flatulence, transient abdominal pain. Some patients in oral route reported slight throat discomfort or slight nasal bleeding. Incarceration occurred in 1 case due to friction of endotracheal intubation and the silicone tube, which was released after deflation and removed out. 2 patients showed mild diarrhea with low fever, and the symptoms were selfhealing without special treatment in 48 h.

    Conclusion DBE is of high diagnostic value for gastrointestinal diseases with a high safety.
    【Key words】Diagnosis;Double balloon endoscopy;Intermediate gastrointestinal disease

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    麻树人 单位:沈阳军区总医院
    所属科室:内窥镜科
    出生:1964-03-10
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