内镜对胆肠内瘘的诊断价值

目的 探讨内镜对胆肠内瘘的诊断价值。方法 回顾性总结分析1982年1月至2004年3月经内镜检查的24例胆肠内瘘患者的临床资料（均经手术证实）。结果 24例中经内镜确诊21例，其中在诊治过程的初期内镜误诊3例；内镜未能诊断3例。其他检查：B超检查11例、CT检查5例、X线腹部平片检查7例，无一例确诊；钡餐X线或钡剂灌肠X线检查8例，2例确诊。结论 内镜检查是诊断胆肠内瘘的重要方法。认识胆肠内瘘内镜表现特点可提高对该病的诊断水平。

The diagnostic value of endoscopy in gallbladder-intestine fistula

Objective To study on the effectiveness of endoscopy in diagnosing the gallbladder-intestine fistula. Methods The clinical datum of 24 patients with gallbladder-intestine fistula from January 1982 to March 2004 were reviewed and analyzed retrospectively. All patients were examined by endoscopy and confirmed from operation. Results Twenty-one out of 24 patients were finally diagnosed by endoscopy while 3 of them were misdiagnosed. Other examinations among the 24 patients included B ultrasound 11 , computer tomography (CT) 5, and abdominal plain films 7; none of them was finally diagnosed by these measures. Two out of 8 patients were finally diagnosed by barium meal or enema roentgenogram. Conclusion Endoscopy was an important method in diagnosing the gallbladder-intestine fistula. The diagnostic level would be improved if the specific characters of endoscopies in this entity were fully recognized.