双气囊小肠镜在回肠末端疾病中的诊断价值

Diagnostic value of double-balloon push enteroscopy in small intestine diseases

目的评价双气囊推进式电子小肠镜在回肠末端疾病中的诊断价值。方法对2005年4～9月该院27例有消化道症状,且结肠镜检查回肠末端病变阳性者进行双气囊小肠镜检查,并与病理及手术结果相比较。结果27例病人中发现小肠除滤泡增生外疾病23例,检出率为85.2%,其中回肠滤泡增生4例,空回肠克罗恩病6例,回肠结核5例,小肠息肉病3例,回肠毛细血管瘤3例,回肠血管扩张症3例,空肠肿瘤2例,回肠肌瘤1例。结论双气囊小肠镜能安全迅速地检查全小肠,具有直视、可控性好、能活检及进行镜下治疗等优点,有望成为小肠疾病最重要的检查手段。结肠镜常规检查回肠末段,有助于发现阳性病变,提高双气囊小肠镜诊断的阳性率。

[Objective] To evaluate the clinical diagnostic value of double-balloon push enteroscopy in diseases of the end of ileum. [Methods] Twenty-seven cases suspected to suffer from diseases of the end of Ileum, received double-balloon enteroscopy from April 2005 to September, and compared with the pathological diagnosis and operation. [Results] In twenty-seven cases, twenty-three positive lesions were detected or diagnosed by the enteroscopy and biopsy, the diagnostic yield was 85.2%. Among the twenty-three positive lesions, crohn＇s disease 6 cases, tuberculosis 5 cases, polyps 3 cases, blood capillary tumor 3 cases, vascular dilatation 3 cases, Ileum tumor 2 cases, muscle tumor 1 case. [Conclusion] The double-balloon push enteroscopy has the advantage of allowing direct visualization, taking biopsy specimens and treating under it, by which we can examine the entire small intestine safe and quickly. The double-balloon push enteroscopy is hopeful to become one of the most important examination methods in small intestinal diseases. Meanwhile, normal examination of colonoscopy in the end of ileum is helpful for us to find the positive lesions and promote the diagnostic positive rate of double-balloon push enteroscopy.