单气囊小肠镜在小肠出血患儿中的临床应用

罗艳红; 游洁玉; 刘莉; 赵红梅; 欧阳红娟; 陈卫坚

doi:10.7499/j.issn.1008-8830.2013.07.010

PDF(1458 KB)

中国当代儿科杂志 ›› 2013, Vol. 15 ›› Issue (7) : 546-549. DOI: 10.7499/j.issn.1008-8830.2013.07.010

论著·临床研究

单气囊小肠镜在小肠出血患儿中的临床应用

罗艳红，游洁玉，刘莉，赵红梅，欧阳红娟，陈卫坚

作者信息 +

Clinical application of single-balloon enteroscopy in children with small intestinal bleeding

LUO Yan-Hong, YOU Jie-Yu, LIU Li, ZHAO Hong-Mei, OU-YANG Hong-Juan, CHEN Wei-Jian

Author information +

文章历史 +

摘要

目的：探讨单气囊电子小肠镜在小肠出血患儿中的诊断价值和安全性。方法：临床怀疑小肠出血患儿共70例，其中男 38 例，女 32 例，年龄 4～13 岁；均在全麻下行单气囊小肠镜检查，其中经口途径检查 26例，经肛门途径检查 32 例，同时经口和肛门检查12例。结果：70例患儿中检查出小肠病变58例，检查阳性率 83％，其中非特异性炎症 24例，过敏性紫癜 12 例，克隆病 8 例，美克尔憩室 8 例，Peutz-Jeghers综合征 6 例。结论：单气囊小肠镜检查是诊断小肠出血患儿一项较为安全、有效的检查手段。

Abstract

OBJECTIVE: To investigate the diagnostic value and safety of single-balloon electronic enteroscopy in children with small intestinal bleeding. METHODS: Seventy children with clinically suspected small intestinal bleeding, including 38 males and 32 females aged 4-13 years, underwent single-balloon enteroscopy under general anesthesia. Twenty-six cases underwent the procedure through the mouth, 32 cases through the anus, and 12 cases through both. RESULTS: Of the 70 children, 58 (83%) had small bowel disease according to the single-balloon enteroscopy results, including 24 cases of non-specific inflammation, 12 cases of allergic purpura, 8 cases of Crohn′s disease, 8 cases of Meckel′s diverticulum, and 6 cases of Peutz-Jeghers syndrome. CONCLUSIONS: Single-balloon enteroscopy is a safe, effective means for the diagnosis of small intestinal bleeding among children.

导出引用

罗艳红，游洁玉，刘莉，赵红梅，欧阳红娟，陈卫坚. 单气囊小肠镜在小肠出血患儿中的临床应用[J]. 中国当代儿科杂志. 2013, 15(7): 546-549 https://doi.org/10.7499/j.issn.1008-8830.2013.07.010

LUO Yan-Hong, YOU Jie-Yu, LIU Li, ZHAO Hong-Mei, OU-YANG Hong-Juan, CHEN Wei-Jian. Clinical application of single-balloon enteroscopy in children with small intestinal bleeding[J]. Chinese Journal of Contemporary Pediatrics. 2013, 15(7): 546-549 https://doi.org/10.7499/j.issn.1008-8830.2013.07.010

参考文献

［1］陈建雯, 许恩, 沈丽萍, 许春娣. 双气囊电子小肠镜在儿童不明原因小肠出血术前、术中定位价值［J］.临床外科杂志, 2010, 18(4): 232-233.

［2］马丽黎, 陈世耀, 秦文政, 胡建卫, 徐美东, 钟芸诗, 等. 单气囊小肠镜在小肠疾病诊断中的应用［J］.中华消化内镜杂志, 2010, 27(8): 399-401.

［3］Yamamoto H, Sekine Y, Sato Y, Higashizawa T, Miyata T, Lino T, et al. Total enteroscopy with a nonsurgical steerable double-balloon method［J］. Gastrointest Endosc, 2001, 53(2):216-220.

［4］黄瑛, 邵彩虹, 梁英杰. 双气囊小肠镜在儿科患者中的应用［J］. 中华儿科杂志, 2010, 48(8): 599-602.

［5］刘洁, 罗和生, 丁一娟, 刘军. 临床症状对双气囊小肠镜进镜方式选择的指导［J］.世界华人消化杂志, 2009, 17(6): 623-626.

［6］Yamamoto H, Kita H, Sunada K, Hayashia Y, Satoa H, Yanoa T, el al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases［J］. Clin Gastroenterology H, 2004, 2(11): 1010-1016.

［7］Lewis BS. Small intestinal bleeding［J］. Gastroenterology Clin North Am, 2000, 29(1): 67-95.

［8］钟捷, 张晨莉, 马天乐, 金成荣, 吴云林, 江石湖, 等. 双气囊小肠镜与胶囊内镜诊断小肠出血病因比较［J］.中华消化杂志, 2004, 24(12): 741-744.

［9］任伟, 王雷, 宁琳洪, 李宜辉, 赵晓晏. 单气囊及双气囊小肠镜在小肠疾病中的应用比较［J］.中国基层医药, 2011, 18(12): 1653-1655.