超声内镜联合双气囊小肠镜在小肠疾病中的应用进展

Application progress of endoscopic ultrasonography combined with double-balloon enteroscopy in small intestinal diseases

双气囊小肠镜(DBE)的发展显著推动了小肠疾病的诊治。借助DBE可观察全小肠腔内病变,同时行内镜下治疗,但在判断病变累及肠壁层次等方面存在局限性。超声内镜对肠壁病变的评估,联合DBE的内镜下检查结果,可为小肠疾病的诊治提供更为有效全面的信息支持。本文就超声内镜联合DBE的作用、适用范围、检查方法、小肠病变特点及局限性等方面作一综述,以供临床参考。

The development of double-balloon enteroscopy(DBE)has significantly promoted the diagnosis and treatment of small intestinal diseases.DBE can treat the small intestinal diseases under endoscopy while observing the lesions in the whole small intestine,but it has limitations in judging the deepth of the lesions involved in the intestinal wall.The evaluation of intestinal wall lesions by endoscopic ultrasonography combined with DBE can provide more effective and comprehensive information for the diagnosis and treatment of small intestinal diseases.This article reviews the role,application scope,examination methods,characteristics of small intestinal lesions and limitations of endoscopic ultrasonography combined with DBE for clinical reference.