单人操作单气囊小肠镜对小肠疾病的诊断价值.pdf

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1、第19卷第7期中国内镜杂志Vol_19No．72013年7月ChinaJournalofEndoscopyJu1．2013文章编号：1007—1989(2013)07—0721—04单人操作单气囊小肠镜对小肠疾病的诊断价值丁西平，贾勇，王巧民，张开光，吴正祥，余跃，盛明伶，程圣莉(安徽医科大学附属省立医院消化内科，安徽合肥230001)摘要：目的评价非麻醉状态下单人操作单气囊小肠镜(SBE)对小肠疾病诊断的临床价值、安全性及耐受性。方法对2010年4月～2012年4月疑有小肠疾病39例患者进行非

2、麻醉状态下单人SBE检查，分析疾病检出率、检查时间、并发症及耐受性。结果39例患者共进行64例次SBE检查，单纯经口检查7例，单纯经肛检查6例；经口+经肛检查25例，其中6例完成对接检查；术中小肠镜检查1例。检出病变27例，病变检出率69．2％；经口进镜检查平均时间50．8min，经肛进镜检查平均时间71．3min。所有患者均未出现重大并发症，耐受性良好。结论非麻醉状态下单人SBE是一种对小肠疾病诊断价值较高、安全可靠的检查手段。关键词：诊断；小肠疾病；单气囊小肠镜；非麻醉状态；单人操作；并发症

3、中图分类号：R574．5文献标识码：BClinicalapplicationofsingleballoonenteroscopyoperatedbDyasi~nglepersonflordiag~nosi"soflsmallintestinaldiseaseDINGXi—ping，JIAYong，WANGQiao—min，ZHANGKai—guang，WUZheng-xiang，YUYue，SHENGMin—ling，CHENGSheng-li(DigestiveDepartment，TheAf

4、iliatedProvincialHospitalofAnhuiMedicalUniversity,Hefei，Anhui230001．PR．China)Abstract：【Objective】Toevaluatetheclinicaleficacy，safetyandpatientstoleranceofsingle—personoperat—ingsingleballoonenteroscopy(SBE)fordiagnosisofsmallintestinaldiseasesinwhich

5、conditionpatientswereundernoanesthesia．【Methods】Undernoanesthesia，39patientssuspectedofsmallintestinaldiseasesunderwentSBEoperatedbyasinglepersonbetweenApril2010andApril2012．Positiveproportion，proceduretime，complicationsandpatientstolerancewereinclud

6、edinthisretrospectiveanalysis．【ResultsJAtotalof64procedureswerepe卜formedin39patients．Amongallthepatients，7wereexaminedviaoralroutesand6viaanalroutes，respectively．Among25patientsinwhomprocedureswereperformedbothviaoralandanalroutes，theentiresmallintes

7、tinewasexploredin6cases．SBEwasperformedinoneundergoingsurgicaloperationatthesametime．Diseasesweredetect—edin270fallthepatientswiththedetectablerateof69．2％．Themeanintubationtimewas50．8minutesand71．3minutesfortheoralandanalroutes，respectively．Allpatien

8、tsdidnotsufferfromseverecomplicationsandpresentedgoodtolerance．【Conclusion】Undernoanesthesia，SBEisrelativelyasafe，reliableproceduiewithhighdiagnosticvalueindetectingsmallintestinaldiseases．Keywords：diagnosis；smallintestinaldisease；singleballoonentero