双气囊电子小肠镜检查21例分析

目的；评价双气囊电子小肠镜对小肠疾病的诊断价值。方法。对2005年9月至12月，21例有消化道症状，但经胃镜、结肠镜、全消化道钡餐等检查为阴性者．进行双气囊小肠镜检查。根据患者病情，选择进镜方式。其中5例从肛侧未达空肠上段者，择日改从口侧进镜。结果。21例病人中发现小肠疾病18例，检出率为85．7％。其中回肠克罗患病5例，空回肠多发溃疡4例，回肠血管畸形并出血3例，空回肠非特异性炎症2例，空回肠息肉2例，小肠肿瘤2例．3例未发现病变，检查过程中未发现明显并发症。结论。双气囊小肠镜能安全快速地检查全小肠。具有直视、可控性好、图像清晰、能取活检及进行镜下治疗等优点。

Analysis of Double-balloon Enteroscopy in 21 Cases

Objective:To evaluate the new diagnostic techniques for small bowel diseases.Methods: Twenty-one cases of small bowel diseases with negative findings of various routine diagnostic modalities were performed doubleballoon enteroscopy from September to December,2005.Five cases of them was done two times via oral and anus ways,respectively.Results:The lesion was detected in 18 of 21cases,the total diagnostic yield was 85.7%.These disorders included Crohn's disease(5/21),multiple ulcerations(4/21),arteriovenous malformation(3/21),ileitis(2/21),jejunum-ileum polyp(2/21),and 1 cases of small bowel tumor.Conclusion: The double-balloon enteroscopy was a safe,reliable and effective diagnostic modality with high clinical value for obscure small bowel disease.