单气囊小肠镜与胶囊内镜应用初体会-内科学(消化内科学)专业论文.docx

PAGE PAGE 4 单气囊小肠镜与胶囊内镜应用初体会 【目的】 【中文摘要】 通过单气囊内镜与胶囊内镜在临床的应用，探讨其在小肠疾病中的诊断及治疗价 值。 【资料与方法】 1.1 资料:临床怀疑小肠疾病或健康体检者，单气囊内镜检查者 9 例和胶囊内镜检 查者 103 例，其中 1 例患者行两次胶囊内镜后行小肠镜检查。 1.2 统计学分析 应用描述性分析处理结果。 【结果】 SBE 所有病例检查过程顺利，经口进镜平均检查时间为（62.3±18.3）m，经肛 门进镜平均检查时间为（69.6±27.5）m，9 例患者病变检出率为 88.9%，诊断率 为 66.7%。胶囊内镜检查过程顺利，未发生胶囊滞留小肠病例，103 例患者中 68 例患者发现阳性病变，病变检出率为 66.0%，诊断率为 55.3%，病变以小肠炎症、 血管畸形、肿瘤、寄生虫感染等为主。 【结论】 胶囊内镜和小肠镜检查技术对小肠疾病的检出率均较高。单气囊小肠镜因观察范 围广、操作相对容易、易于实施内镜下治疗将逐渐成为小肠疾病主要的诊治手段。 胶囊内镜操作简便、无创，可成为大多数怀疑小肠疾病的首选筛查工具。 【关键词】 单气囊小肠镜 胶囊内镜 小肠疾病 Single-balloon enteroscopy and capsule endoscopy experience of the early applications 【Abstract】 【Objective】 The paper tends to make a preliminary study on the value Of intestinal disease in diagnosis and treatment by observing Clinical application of single-balloon endoscopy and capsule endoscopy. 【Materials and Methods】 Data: Those who are clinically suspected to have small bowel diseases or healthy patients, 9 cases in single-balloon endoscopy and 103 cases in capsule endoscopy, including 1 case that completed single-balloon endoscopy, after two capsule endoscopy examination. Statistical analysis: Descriptive analysis of the results. 【Results】Single-balloon endoscopy review process proceeded in success in all cases . The average time to insert the endoscope from mouth for (62.3 ± 18.3) min, through the anus was (69.6 ± 27.5) min. Lesion detection rate was 88.9%, diagnosis rate 66.7%. The process of capsule endoscopy also went successful in all cases. Cases of capsule retention in small bowel did not occur. Among 103 patients, 68 patients were found positive for lesions, the rate of which was 66.0%, The diagnostic rate was 55.3%. The lesions are mainly inflammatory lesions, vascular malformations, tumors and parasitic Worm infection. 【Conclusion】 The detection rate is high when adopting Capsule endoscopy and enteroscopy for small intestinal disease. For the wide range of observation, relatively easy operation and easy to implement endoscopic treatment o