单气囊小肠镜与双气囊小肠镜的临床对比

Clinical comparison of single-versus double-balloon enteroscopy

目的:比较单气囊小肠镜(single balloon endoscopy,SBE)及双气囊小肠镜(double balloon endoscopy,DBE)的临床应用价值.方法:回顾性分析2007-01/2012-09在我院消化内镜室检查的720例次患者的临床资料(SBE组510例次,DBE组210例次).记录小肠镜检查的检查时间、插镜深度、病变发现率、镜下治疗率.结果:SBE与DBE比较,检查时间(经口SBE54.41 min±11.742 min vs DBE 54.94 min±12.315 min,经肛SBE 64.71 min±12.359 min vs DBE 65.81 min±13.995 min)及插镜深度(经口SBE 235.12 cm±87.831 cm vs DBE219.94 cm±68.226 cm,经肛SBE 187.75 cm±67.037 cm vs DBE 172.37 cm±81.808 cm)无统计学差异(P>0.05),检出阳性率(经口SBE77.05%vs DBE 75.67%,经肛SBE 70.18%vs DBE 76.77%)及镜下治疗率(经口SBE 46.58%vs DBE 48.85%,经肛SBE 35.32%vs DBE33.33%)也未见明显差异(P>0.05).结论:SBE与DBE的性能及疾病诊断率相当,是一种可靠的小肠检查方法.

AIM： To compare the clinical application value of single balloon enteroscopy（SBE）and double balloon enteroscopy（DBE）.METHODS： Clinical data for 720 subjects who underwent enteroscopy（510 cases of SBE and210 cases of DBE）from January 2007 to September 2012 were retrospectively analyzed.Procedure duration,intubation depth,diagnostic yield and endoscopic treatment rate were compared between the two groups.RESULTS： No significant difference was found between the two groups in procedure duration（SBE 54.41 min ± 11.742 min vs DBE 54.94 min ±12.315 min for the oral approach,SBE 64.71 min± 12.359 min vs DBE 65.81 min ± 13.995 min for the anal approach）,intubation depth（SBE 235.12cm ± 87.831 cm vs DBE 219.94 cm ± 68.226 cm for the oral approach,SBE 187.75 cm ± 67.037cm vs DBE 172.37 cm ± 81.808 cm for the anal approach）,diagnostic yield（SBE 77.05% vs DBE75.67% for the oral approach,SBE 70.18% vs DBE76.77% for the anal approach）or endoscopic treatment rate（SBE 46.58% vs DBE 48.85% for the oral approach,SBE 35.32% vs DBE 33.33% for the anal approach）.CONCLUSION： SBE and DBE have comparable performance and diagnostic yield in the evaluation of the small bowel.SBE is an effective method for the diagnosis and treatment of small bowel diseases.