目的 比较双气囊和单气囊小肠镜对小肠疾病的诊断价值.方法 2014年7月-2016年8月因疑似小肠疾病而就诊的患者117例,根据治疗方法分为双气囊电子小肠镜组(DBE)68例和单气囊电子小肠镜组(SBE)49例,比较两组患者经口和经肛进镜的检查时间、插镜深度、检出率和治疗率以及不同主诉情况和不同疾病的检出率,评价安全性.结果 经口入镜和经肛入镜中,DBE组和SBE组的检查时间、插镜深度、检出率和治疗率比较差异均无统计学意义(P >0.05),两组对不明原因的消化道出血、腹痛、腹泻和其他的小肠疾病的检出率比较差异均无统计学意义(P >0.05),对克罗恩病、恶性肿瘤、良性肿瘤、小肠炎、非特异性溃疡、息肉、憩室和肺结核等的检出率比较差异均无统计学意义(P >0.05).两组均未见严重并发症.结论 DBE和SBE对小肠疾病的检出率相当.%Objective To compare the diagnosis value of double-balloon endoscopy (DBE) and single-balloon endoscopy (SBE) in diagnosing small intestinal diseases. Methods 117 cases with suspected small intestinal diseases from Jul 2014 to Aug 2016 were divided into DBE group (n = 68) and SBE group (n = 49) according to the treatment methods. These indexes as followed were compared between the two groups: procedure duration, intubation depth, detection rate, endoscopic treatment rate, and the detection rates in different chief complaints and diseases. The safety assessment was analyzed. Results Through the mouth and the anus examinations, DBE and SBE groups produced no significant differences in procedure duration, intubation depth, detection rate, and endoscopic treatment rate (P > 0.05). The unknown causes gastrointestinal bleeding, abdominal pain, diarrhea and other detection rate of small intestine disease compare differences had no statistical significance (P > 0.05), none in crohn's disease, malignant tumor, benign tumor, small enteritis, ulcers, polyps, diverticulum and tuberculosis (P > 0.05). There were no serious complications occurred in both groups. Conclusion DBE and SBE have the similar detection rate of small intestine diseases.
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