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目的:观察双气囊小肠镜在小肠出血中的病变检出率、病因诊断率、耐受性和安全性,并探讨双气囊小肠镜对小肠出血的内镜下治疗情况。方法:对2006年3月至2009年11月烟台毓璜顶医院消化内科收治的可疑小肠出血患者102例行双气囊小肠镜检查,首选进镜方式分为经口或经肛2种,首选方式检查后未发现病灶者,日后改换进镜方式再行检查。对活动性出血病灶行内镜下止血治疗,小肠息肉行息肉切除。结果:双气囊小肠镜的病变检出率为94.12%(96/102),病因诊断率为84.31%(86/102),其中35例检查时见病变活动性出血,行内镜下止血治疗,33例止血成功,内镜止血成功率为94.30%(33/35);在耐受性方面,双气囊小肠镜的耐受性依次为:全麻下经肛进镜、全麻下经口进镜、非麻醉经肛进镜、非麻醉经口进镜。所有患者均未发生严重并发症。结论:双气囊小肠镜对小肠出血具有较高的病变检出率和病因诊断率,并且可行内镜下止血治疗,是一项安全、有效的临床诊疗方法。
OBJECTIVE: To observe the detection rate, etiological diagnosis, tolerance and safety of double-balloon enteroscopy in small intestinal bleeding and to explore the endoscopic treatment of small bowel bleeding with double-balloon enteroscopy. Methods: From March 2006 to November 2009, 102 patients with suspicious intestinal bleeding admitted to Department of Gastroenterology, Yuhuangding Hospital of Yantai City were enrolled in this study. Double-balloon enteroscopy was performed in 102 patients. The first choice was either oral or anal 2, No lesions were found, the future change into the mirror way to check again. Endoscopic active hemorrhage lesions endoscopic hemostasis, small polyps polyps resection. Results: The detection rate of double balloon enteroscopy was 94.12% (96/102), the etiological diagnosis rate was 84.31% (86/102), of which 35 cases were examined with active bleeding, endoscopic hemostasis, 33 cases of successful hemostasis, endoscopic hemostasis success rate was 94.30% (33/35); tolerance, double balloon enteroscopy tolerance were: general anesthesia by the endoscope, under general anesthesia by mouth Mirror, non-narcotic anal into the mirror, non-narcotic by mouth into the mirror. No serious complications occurred in all patients. Conclusions: Double balloon enteroscopy has high detection rate and etiological diagnosis rate of small intestine hemorrhage. It is a safe and effective method for clinical diagnosis and treatment of endoscopic hemostasis.