单气囊小肠镜在小肠疾病诊治中的价值

doi:10.3877/cma.j.issn.2095-3224.2014.06.05

中华结直肠疾病电子杂志 ›› 2014, Vol. 03 ›› Issue (06) : 436 -439. doi: 10.3877/cma.j.issn.2095-3224.2014.06.05

所属专题：文献；

论著

单气囊小肠镜在小肠疾病诊治中的价值

时强¹, 武逸人¹, 蔡世伦¹, 任重¹, 陈涛¹, 陈天音¹, 朱俊宇¹, 徐佳昕¹, 马丽黎¹, 钟芸诗¹^,^†(

), 姚礼庆¹

^1. 200032　上海，复旦大学附属中山医院内镜中心　复旦大学内镜诊疗研究所　上海内镜诊疗工程技术研究中心

收稿日期:2014-11-30 出版日期:2014-12-25
通信作者: 钟芸诗
基金资助:
上海市卫生局人才基金(XYQ2011017)

Single balloon enteroscope for diagnosis and treatment of small intestinal diseases

Qiang SHI¹, Yi-ren WU¹, Shi-lun CAI¹, Zhong REN¹, Tao CHEN¹, Tian-yin CHEN¹, Jun-yu JU¹, Jia-xin XU¹, Li-li Ma¹, Yun-shi ZHONG¹^,^†(), Li-qing YAO¹

^1. Endoscopy Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China

Received:2014-11-30 Published:2014-12-25
Corresponding author: Yun-shi ZHONG
About author:
Corresponding author: ZHONG Yun-shi, Email: zhongamy2002@126.com

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目的

评价单气囊小肠镜(Single balloon enteroscope，SBE)在小肠疾病诊断和治疗中的安全性及临床价值。

方法

对2012年1月1日～2014年6月1日期间在我院行SBE检查的患者的临床资料进行回顾性分析，总结检查完成情况、操作时间、内镜诊断以及并发症发生情况等。

结果

138例患者共行157次SBE检查。经口检查77例次；经肛检查80例次；经口联合经肛检查14例。共99例发现病变，疾病检出率为71.7%(99/138)。经口进镜检查平均用时45.5 min，经肛进镜检查平均用时50.3 min。所有患者检查过程中生命体征处于安全范围，无心脑血管并发症发生，无剧烈腹痛及出血、穿孔等并发症出现。

结论

SBE可以安全，高效的完成小肠疾病的诊治，相信随着临床经验的积累，SBE会在小肠疾病的诊断中发挥更大的作用。

关键词: 内窥镜, 小肠, 诊断, 治疗, 单气囊小肠镜

Objective

To evaluate the safety and clinical efficacy of single balloon enteroscopy(SBE)for diagnosis and treatment of small intestinal diseases.

Methods

Data of the patients who underwent SBE from January 1, 2012 to Jane 1, 2014 were retrospectively studied to analyze the access, procedure time, endoscopic diagnosis and complications of SBE.

Results

A total of 157 SBE procedures were performed on 138 patients.Procedures were performed via oral, anal and the combined routes in 77, 80 and 14 cases, respectively.Lesions were found in 99 cases, and the disease detection rate was 71.7%(99/138). The average access times via oral and anal routes were 45.5 min and 50.3min, respectively.Patients showed normal vital signs during the procedures.No such procedure-related complications as cadiovascular events, severe abdominal pain, bleeding or perforation, were observed.

Conclusion

SBE is a safe and highly clinically valuble method for diagnosis and treatment of small intestinal diseases.With the accumulation of the clinical experience, SBE would play a greater role in the diagnosis in the small intestine.

Key words: Endoscopes, Intestine, small, Diagnosis, Therapy, Single balloon enteroscope

图1 各种疾病在单气囊小肠镜下表现图像

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