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目的初步评价电子小肠镜在小肠疾病诊断应用中的价值。方法回顾性调查了2005年11月￣2005年12月在我院消化科进行小肠镜检查的患者。从小肠镜检查时间、阳性检出率、并发症等方面评价电子小肠镜在小肠疾病诊断应用中的价值。结果2005年11月～2005年12月在我院共进行推进式小肠镜检查15例。10例患者经口进行小肠镜检查,3例患者经肛进行小肠镜检查,2例患者分别经口及经肛进行检查。小肠检查时间最短15min,最长62min,平均检查时间为22min。7例患者诊断小肠疾病,阳性检出率为47%。其中十二指肠水平段恶性淋巴瘤1例,十二指肠降部巨大溃疡1例,小肠Whipple病1例,十二指肠憩室伴出血1例,回肠血管畸形2例,回肠淋巴瘤样息肉病1例。4例患者除术后轻微腹痛外,无穿孔、出血等并发症。结论电子小肠镜检查是目前诊断小肠疾病安全、有效的方法。
Objective To evaluate the value of enteroscopy in the diagnosis of small intestinal diseases. Methods A retrospective survey of patients who underwent enteroscopy in our Department of Gastroenterology from November 2005 to December 2005 was retrospectively reviewed. From the enteroscopy time, the positive detection rate, complications and other aspects of the evaluation of small bowel disease in the diagnosis of small bowel disease value. Results From November 2005 to December 2005, a total of 15 cases of enteroscopy were performed in our hospital. 10 patients underwent small bowel examination, 3 patients underwent enteroscopy through the anus, and 2 patients underwent oral and perianal examinations. The shortest intestinal examination time 15min, the longest 62min, the average examination time is 22min. Seven patients diagnosed intestinal diseases, the positive detection rate was 47%. Including duodenal level of 1 cases of malignant lymphoma, duodenal descending 1 case of large ulcers, small bowel Whipple disease in 1 case, duodenal diverticulum with bleeding in 1 case, ileum vascular malformations in 2 cases, ileal lymphoma-like Polyposis in 1 case. In 4 patients, there was no complications such as perforation and bleeding in addition to mild abdominal pain after operation. Conclusions Electronic enteroscopy is the safe and effective method to diagnose small intestinal diseases.