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目的探讨双气囊小肠镜在小肠克罗恩病诊断中的作用。方法对28例疑有小肠疾病者行双气囊小肠镜检查,分析双气囊小肠镜检查对小肠疾病,尤其是小肠克罗恩病的检出率、诊断准确性、患者依从性和不良反应发生率等。结果28例中,小肠病变总检出率为71.43%(20/28),小肠克罗恩病检出率为21.43%(6/28),占所有检出病变的30%(6/20)。6例双气囊小肠镜检查判断为克罗恩病者中,结合病理、治疗效果和临床随访,6例均确诊为克罗恩病,诊断准确率为100%(6/6)。结论双气囊小肠镜检查是一项针对小肠疾病安全、有效的检查方法,是诊断小肠克罗恩病较为理想的方法。
Objective To investigate the role of double balloon enteroscopy in the diagnosis of small bowel Crohn’s disease. Methods Twenty-eight patients with suspected small bowel disease underwent double balloon enteroscopy. The detection rate, diagnosis accuracy, patient compliance and incidence of adverse reactions of double-balloon enteroscopy on small intestine diseases, especially small bowel disease were analyzed. Wait. Results The total detection rate of intestinal lesions was 71.43% (20/28) in 28 cases, 21.43% (6/28) in small intestine, accounting for 30% (6/20) of all detected lesions. . 6 cases of double balloon enteroscopy confirmed Crohn’s disease, combined with pathology, treatment and clinical follow-up, 6 cases were diagnosed as Crohn’s disease, the diagnostic accuracy was 100% (6/6). Conclusion Double balloon enteroscopy is a safe and effective method for the diagnosis of small bowel disease. It is an ideal method to diagnose small bowel Crohn’s disease.