双气囊小肠镜诊断小肠憩室18例临床分析

Analysis of 18 cases with diverticulum of small intestine by double-balloon enteroscopy

目的探讨双气囊电子小肠镜(DBE)检查小肠憩室的诊断特点,分析其对小肠憩室病的诊断情况,初步讨论DBE对小肠疾病的诊疗价值。方法回顾性分析2007年7月～2009年12月武汉大学人民医院消化内镜中心161例患者DBE检查结果及病史情况。结果 161例DBE检查者中发现阳性病变123例(76.4%):其中,十二指肠10例,空肠51例,回肠62例。主要包括:血管畸形、小肠溃疡性疾病、慢性非特异性炎症、肿瘤、息肉以及憩室等。其中,小肠憩室18例。结论 DBE对小肠疾病(小肠憩室)的诊断具有较高的价值,并对其治疗具有指导意义。

[Objective]To explore the endoscopic performance and features of diverticulum of small intestine, and to evaluate the value of double-balloon enteroscopy （DBE） in diagnosis of small intestine diseases.[Methods] The 161 cases were retrospectively reviewed by DBE from July 2007 to December 2009 in people’s hospital of Wuhan. [Results]The positive rate of lesions was 76.4% （123/161）. The lesions included vascular malformation, small ulcer, chronic non-specific inflammation, tumors and diverticulum of small intestine. And 18 cases of diverticulum of small intestine were diagnosed among 161 cases of DBE.[Conclusion]DBE is helpful and directive to the diagnosis of diverticulum of small intestine.