单气囊小肠镜在小肠出血患儿中的临床应用

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

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.