| 双气囊内镜对小肠息肉的内镜诊治研究 |
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| 引用本文： | 毛高平,宁守斌,曹传平,金晓维,唐杰,朱鸣. 双气囊内镜对小肠息肉的内镜诊治研究[J]. 胃肠病学和肝病学杂志, 2010, 19(2) |
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| 作者姓名： | 毛高平 宁守斌 曹传平 金晓维 唐杰 朱鸣 |
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| 作者单位： | 解放军空军总医院消化内科,北京,100036 |
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| 摘 要： | 目的 探讨双气囊内镜(DBE)对小肠息肉镜下治疗的可行性及安全性.方法 回顾分析我院自2003年11月～2009年6月接受DBE检查并检出小肠息肉的所有病例,总结和分析小肠息肉的内镜诊断及治疗情况,并评价其安全性.结果 360例患者,共进行566例次DBE检查及治疗,其中检出小肠息肉患者66例(Peutz-Jeghers综合征患者50例,其他小肠息肉患者16例).66例患者共接受122例次DBE镜下治疗(经口 74次,经肛48次).镜下切除小肠息肉共计1 012枚(直径5～10 mm 95枚、1～30mm 599枚,直径31～50 mm 274枚,直径大于50 mm 44枚).66例患者在DBE检查及治疗前86例次有不同的临床症状(不完全肠梗阻36例、消化道出血32例、腹痛及腹部不适18例),其中78例次(90.7%)经内镜治疗后临床症状均明显缓解或消失,另有8例次因小肠息肉巨大(7例)或发现息肉恶变(2例)转外科手术治疗.发生较严重的并发症共6例次(小肠穿孔3例,术后有3例出现引起血红蛋白水平下降的消化道出血).结论 DBE能安全有效地切除小肠多发息肉,可在一定范围内代替外科手术治疗,为小肠息肉患者提供了一种安全有效的微创治疗方法,具有重要的临床应用价值.
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| 关 键 词： | 小肠息肉 双气囊内镜 内镜治疗 |
Endoscopic diagnosis and treatment of small bowel polyps by double-balloon enteroscopy |
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| MAO Gaoping,NING Shoubin,CAO Chuanping,JIN Xiaowei,TANG Jie,ZHU Ming. Endoscopic diagnosis and treatment of small bowel polyps by double-balloon enteroscopy[J]. Chinese Journal of Gastroenterology and Hepatology, 2010, 19(2) |
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| Authors: | MAO Gaoping NING Shoubin CAO Chuanping JIN Xiaowei TANG Jie ZHU Ming |
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| Affiliation: | MAO Gaoping,NING Shoubin,CAO Chuanping,JIN Xiaowei,TANG Jie,ZHU Ming Department of Gastroenterology,Air-force General Hospital,Beijing 100036,China |
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| Abstract: | Objective To evaluate the feasibility and security of double-balloon enteroscopy (DBE) for the treatment of small-bowel polyps.Methods Retrospective analysis was performed in all patients who underwent DBE examination between November 2003 and June 2009.The size,number and location of the diagnosis and endoscopically resected small-bowel polyps were documented.All complications associated with the treatment were assessed.Results Sixty-six patients with small-bowel polyps were discovered during 566 DBE proce... |
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| Keywords: | Small bowel polyps Double-balloon enteroscopy Therapeutic endoscopy |
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