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目的:研究双气囊电子小肠镜在青少年小肠疾病诊断中应用及安全性。方法:回顾性分析2007年9月-2015年3月就诊我院并行双气囊电子小肠镜检查的青少年患者共计59例,按年龄划分为少年组和青年组。结果:青少年小肠疾病多以黑便、便血、腹痛、呕吐等症状而就诊,症状均不具有特异性(P>0.05)。青少年小肠疾病以小肠克罗恩病、小肠畸形等疾病多见。双气囊电子小肠镜对青少年小肠疾病有较高确诊率,少年组、青年组、总确诊率分别为94.44%、82.93%、86.44%(均P<0.05),其对青少年各类小肠疾病诊断准确率无统计学差异(P>0.05)。检查中所有患者均未发生明显不良反应。结论:双气囊电子小肠镜是诊断青少年小肠疾病有效的检查手段,其诊断率高,安全性好。
Objective: To study the application and safety of double-balloon enteroscopy in the diagnosis of intestinal diseases in adolescents. Methods: A total of 59 adolescents who underwent simultaneous double balloon enteroscopy in our hospital from September 2007 to March 2015 were retrospectively analyzed. They were divided into adolescent group and young group by age. Results: Adolescents with small intestinal diseases mostly melena, blood in the stool, abdominal pain, vomiting and other symptoms and treatment, the symptoms are not specific (P> 0.05). Small intestine disease in young patients with Crohn’s disease, intestinal malformations and other diseases more common. Double-balloon enteroscopy had a higher diagnosis rate of juvenile intestinal diseases, and the overall diagnosis rate was 94.44%, 82.93% and 86.44% respectively in juvenile group and young group (all P <0.05), and it was accurate for diagnosis of various intestinal diseases in adolescents There was no statistical difference (P> 0.05). All patients in the test did not occur significant adverse reactions. Conclusion: Double balloon enteroscopy is an effective method for the diagnosis of intestinal diseases in adolescents. Its diagnostic rate and safety are good.