胶囊内镜与双气囊小肠镜在小肠疾病中的诊断价值
Diagnostic value of capsule endoscopy and double-balloon enteroscopy in small bowel diseases.
作者信息
Qian Lijuan, Gu Yijie, Zheng Lu, Xia Tingting
机构信息
Department of Gastroenterology, The First Affiliated Hospital of Soochow University No. 188 Shizi Street, Gusu District, Suzhou 215000, Jiangsu, China.
出版信息
Am J Transl Res. 2022 Jan 15;14(1):328-335. eCollection 2022.
OBJECTIVE
To analyze the diagnostic value of capsule endoscopy (CE) and double-balloon enteroscopy (DBE) in small bowel diseases.
METHODS
The clinical data of 134 cases of CE and 109 cases of DBE examined in our gastroscopy room from January 2016 to December 2019 were retrospectively analyzed. The two groups of patients were compared as to disease diagnostic rate, examination time, examination tolerance, and incidence of adverse reactions.
RESULTS
The two groups showed no significant difference in general data (all >0.05). The DBE group showed a higher disease diagnostic rate than the CE group (<0.05). Significantly higher rates of suspected intestinal bleeding were observed in the DBE group than those of the CE group (<0.05), but no significant differences were found in the diagnosis of unexplained abdominal pain, abdominal distension, and others (all >0.05). The DBE group required a longer examination time, and had a higher incidence of adverse reactions, and a lower examination tolerance than the CE group (<0.05).
CONCLUSION
Both DBE and CE are effective in small bowel diseases diagnoses, but DBE demonstrated greater potential in diagnosing small bowel bleeding.
目的
分析胶囊内镜（CE）和双气囊小肠镜（DBE）在小肠疾病中的诊断价值。
方法
回顾性分析2016年1月至2019年12月在我院胃镜室接受检查的134例CE患者和109例DBE患者的临床资料。比较两组患者的疾病诊断率、检查时间、检查耐受性及不良反应发生率。
结果
两组患者一般资料比较，差异均无统计学意义（均>0.05）。DBE组疾病诊断率高于CE组（<0.05）。DBE组疑似肠道出血的发生率显著高于CE组（<0.05），但在不明原因腹痛、腹胀等诊断方面差异无统计学意义（均>0.05）。DBE组检查时间更长，不良反应发生率更高，检查耐受性低于CE组（<0.05）。
结论
DBE和CE对小肠疾病的诊断均有效，但DBE在诊断小肠出血方面更具潜力。
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