两种小肠插管法行小肠气钡双重造影的对比研究

Comparative Study on Two Kinds of Intestinal Intubation of Small Intestine Double Contrast Barium Enema

目的:探讨胃肠镜辅助下鼻空肠直管插管法和非胃镜辅助下螺旋形鼻空肠管置管法在小肠疾病诊断中的应用。方法:选取2012年1月-2013年6月本院疑诊小肠疾病的患者100例,按随机数字表法分为治疗组(A组)和对照组(B组),每组50例。A组采用非胃镜辅助螺旋型鼻空肠管行插管法小肠气钡双重造影,B组胃镜引导下,行鼻空肠直管行空肠置管,比较两者的置管成功率、小肠病变检出性率,并行统计学分析及处理。结果:A组检出率84%,B组检出率64%,两组比较差异有统计学意义(P<0.05);两组置管成功率及并发症比较差异无统计学意义(P>0.05)。结论:非胃镜辅助螺旋型鼻空肠管行插管法小肠气钡双重造影操作简便、安全、患者痛苦小而易于接受,对小肠病变有较高检出率,有临床推广应用价值。

Objective：To explore the application of gastrointestinal endoscopic nasojejunal tube intubation and non gastroscope assistant spiral nasointestinal tube method in the diagnosis of small bowel diseases. Method：From January 2012 to June 2013 in our hospital 100 cases of suspected small bowel disease were selected,randomly divided into the treatment group（group A）and control group（group B）. According to random number table method,50 cases in each group,and the group A was treated with non gastroscopy auxiliary spiral nasointestinal tube intubation of small intestine double contrast barium enema,the group B was treated with gastrointestinal endoscopic nasojejunal tube intubation,compared the two success rate of catheterization,intestinal lesion detection rate,parallel analysis and statistics. Result：In the group A,the detection rate was 84%,the group B was 64%, compared to two groups of results,significant difference（P0.05）. Conclusion：Non gastroscopy auxiliary spiral nasointestinal tube intubation of small intestine double contrast barium enema has the advantages of simple operation,safety,little pain and easy to accept,with a higher detection rate of small intestinal lesions,clinical application value.