单气囊小肠镜在小肠肿瘤诊疗中的临床应用价值

目的:评估单气囊小肠镜在小肠肿瘤诊疗中的临床应用价值.方法:回顾性分析我院内镜中心2009年2月至2014年12月期间进行单气囊小肠镜检查的354例患者的临床资料.结果:共有354例患者进行了532例次(378次经口,154次经肛)小肠镜检查,总诊断率为72.9％(258/354),其中共发现小肠肿瘤46例(17.8％,46/258).临床表现为不明原因消化道出血的159例患者中发现小肠肿瘤22例(13.8％,22/159),表现为慢性腹痛的118例患者中发现小肠肿瘤15例(12.7％,15/118).4例患者行小肠镜下腺瘤及息肉切除(共计97枚),3例患者行小肠狭窄扩张术.本研究未观察到严重并发症.结论:单气囊小肠镜在小肠肿瘤诊断中具有重要地位,且镜下治疗安全有效.

Clinical value of single balloon enteroscopy in small bowel tumor

Objective:To evaluate the clinical value of single balloon enteroscopy in the diagnosis and therapy of small bowel tumor.Methods:A retrospective analysis was performed for the data of 354 patients who underwent single balloon enteroscopy examination from February 2009 to December 2014.Results:A total of 532 procedures (oral route in 378 procedures and anal route in 154 procedures) were performed in 354 patients,and the overall diagnosis rate was 72.9％ (258/354).Among all the patients,46 cases (17.8％,46/258) were diagnosed with small bowel tumor.Among 159 patients with obscure gastrointestinal bleeding,22 cases (13.8％,22/159) were diagnosed with small bowel tumor.Among 118 patients with chronic abdomen pain,15 cases (12.7％,15/118) were diagnosed with small bowel tumor.97 polyps or adenomas were removed under endoscopy in 4 patients and balloon dilation of small bowel stricture was performed in 3 patients.No serious endoscopic complications were observed.Conclusion:Single balloon enteroscopy had high clinical value in the diagnosis of small bowel tumor and can be used for endoscopic therapy with safety and effectiveness.