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目的探讨双气囊小肠镜(double-balloon enteroscopy,DBE)在小肠疾病诊断中的作用及治疗安全性。方法回顾性分析2014年4月-2015年2月在江苏省中医院消化内镜中心住院的58例小肠疾病患者的临床资料。结果 58例患者共行66次DBE检查,发现病变48处,阳性率72.7%;发现CD27例,血管畸形出血2例,小肠糜烂2例,Meckal憩室1例,息肉3例,淋巴管扩张症2例,空肠占位3例,回肠黏膜炎1例,胶囊滞留3例,陈旧性出血1例,空肠梗阻1例,置小肠营养管1例。1例高淀粉酶血症,无出血、穿孔等并发症。结论 DBE在小肠疾病诊断中占重要地位,且镜下治疗安全有效。
Objective To investigate the role of double-balloon enteroscopy (DBE) in the diagnosis of small intestinal diseases and the safety of treatment. Methods The clinical data of 58 patients with intestinal diseases who were hospitalized in the Digestive Endoscopy Center of Jiangsu Provincial Hospital of Traditional Chinese Medicine from April 2014 to February 2015 were retrospectively analyzed. Results A total of 66 lesions were detected by DBE in 58 patients. The positive rate was 72.7%. CD27 cases were found, 2 cases of vascular malformation, 2 cases of small intestine erosion, 1 case of Meckal diverticulum, 3 cases of polyp, 2 cases of lymphatic vessel dilatation Cases, jejunum occupying 3 cases, 1 case of ileal mucositis, capsule retention in 3 cases, old bleeding in 1 case, jejunal obstruction in 1 case, set the small intestine feeding tube in 1 case. 1 case of high amylasemia, no bleeding, perforation and other complications. Conclusion DBE plays an important role in the diagnosis of small intestine disease, and is safe and effective under the microscope.