术中内镜诊治不明原因消化道出血26例临床分析

Intraoperative endoscopy in diagnosis and treatment of obscure gastrointestinal bleeding:clinical analysis of 26 cases

目的研究术中内镜对于剖腹探查术诊治不明原因消化道出血的价值。方法对2003～2009年桂林市第二人民医院因小肠出血不能确诊需剖腹探查的26例患者进行了术中内镜检查,并对出血原因进行分析和评估疗效。结果本组26例患者通过术中内镜检查全部明确出血原因和部位;术后26例未见再出血。结论在诊治不明原因消化道出血而行剖腹探查术时应配合术中内镜,可提高病变检出率,定位、定性准确,安全快速。

Objective To study the value of endoscopy during exploratory laparotomy for the diagnosis and treatment of obscure gastrointestinal bleeding. Methods The clinical data of 26 patients with obscure intestinal bleeding undergoing endoscopy during exploratory laparotomy, in our hospital from 2003 to 2009 were retrospectively analyzed to assess efficacy. Results The causes and the sits of bleeding in 26 patients were clearly identified by intraoperative endoscopy and no further bleeding was found in 26 patients after operation. Conclusion Endoscopy during exploratory laparotomy in the diagnosis and treatment of obscure gastrointestinal bleeding can improve the detection rate of lesions, and accurately, safely and quickly determine the location and nature of lesions.