双气囊小肠镜与小肠钡灌诊断小肠疾病的对照研究

Comparative Study of Double-Balloon Enteroscopy with Intestinal Enteroclysis in Patients with Intestinal Diseases

目的比较双气囊小肠镜和小肠钡灌检查对小肠疾病的诊断价值。方法2003年3月至2004年9月,43例经多项常规检查阴性、疑为小肠疾病患者分别行双气囊小肠镜和小肠钡灌检查,结合手术和病理所见,对照两者的病因诊断率,就其整体检出率和对小肠基本病变诊断的准确性进行比较。结果小肠镜发现36例病灶,整体检查阳性率83.7%;小肠钡灌发现22例病变,整体检查阳性率51.2%。小肠镜检出小肠肿瘤13例,炎性、溃疡性病变20例,血管畸形3例;小肠钡灌分别检出7例15例、0例。结论在小肠疾病的整体检出率和病因诊断率方面,双气囊小肠镜要优于小肠钡灌。

diseases Objective To evaluate clinically double-balloon enteroscopy and intestinal enteroclysis in intestinal Methods Forty-three patients suspected with intestinal diseases underwent double-balloon enteroscopy and intestinal enteroclysis separately from Mar. 2003 to Sep. 2004. We compared the diagnostic yield and the accurate rate of double-balloon enterosc had lesions detected throu opy and intestinal enteroclysis through operation and pathology. Results Totally 36 of 43 gh enterosocpic examination, the overall diagnostic yield was 83.7%. Twenty-two out of 43 cases had positive findings with intestinal enteroclysis. Among 36 positive cases, enteroscopy detected 13 intestinal tumors, 20 inflammatory and ulcerative diseases, 3 angiodysplasia, while intestinal enteroclysis detected 7,15,0 cases correspondingly. Conclusion In overall diagnostic yield and etiological diagnosis of intestinal diseases, double balloon enteroscopy is superior to intestinal enteroclysis.