双气囊小肠镜确诊原发小肠肿瘤临床病理分析【摘要】目的探□双气囊小肠镜(DBE)确诊的原发小肠肿瘤的临床病理特点，评价DBE对原发小肠肿瘤的诊断价值。方法对DBE确诊的原发小肠肿瘤患者的临床病理资料进行回顾性研究。结果DBE诊断原发小肠肿瘤33例,32例病理确诊为原发小肠肿瘤，DBE诊断准确率达96.97%(32/33\小肠间质瘤12例，占比37.5%(12/32);小肠腺癌8例，占比25.0%(8/32);小肠淋巴瘤5例，占比15.6%(5/32);小肠管状腺瘤、脂肪瘤、错构瘤各2例，占比6.3%(2/32):小肠淋巴管瘤1例,占比3.1%(1/32\恶性肿瘤占原发小肠肿瘤的78.1%0十二指肠水平段及空肠段恶性肿瘤最多。腹痛、黑便、消瘦是小肠恶性肿瘤患者主要症状。33例DBE检查未发生并发症。结论原发小肠肿瘤以恶性肿瘤为主，高发于十二指肠水平段至空肠上段，常见症状为腹痛、消瘦、黑便。DBE在诊断原发小肠肿瘤方面具有高准确性及高安全性HR【关键词】双气囊小肠镜；原发小肠肿瘤；临床病理特DOI:10.14163/jki.11-5547/r.2O16.33.010Clinicopathologicanalysisofdoubleballoonendoscopy-diagnosedprimarysmallintestinaltumorLILiarr激e,YINHe-kun,LIQi-xiang.DepartmentofGastroenterology,Guangdong激angmenCityCentralHospital,激angmen529030,China[Abstract】ObjectiveToinvestigateclinicopathologiccharacteristicsofdoubleballoonendoscopy(DBE)-diagnosedprimarysmallintestinaltumor,andtoevaluatediagnosticvalueofDBEforprimarysmallintestinaltumor.MethodsAretrospectiveanalysiswasmadeonclinicopathologicdataofpatientswithDBE-diagnosedprimarysmallintestinaltumor.ResultsAmong33DBE-diagnosedprimarysmallintestinaltumorcases,therewere32casesdiagnosedbypathology,anddiagnosisaccuracyofDBEwas96.97%(32/33).Therewere12caseswithsmallintestinalstromaltumor,accountingfor37.5%(12/32),8caseswithsmallintestinaladenocarcinoma,accountingfor25.0%(8/32),5caseswithsmallintestinallymphoma,accountingfor15.6%(5/32),2caseswithsmallintestinaltubularadenoma,accountingfor6.3%(2/32),2caseswithlipomyoma,accountingfor6.3%(2/32),2caseswithhamartoma,accountingfor6.3%(2/32),and1casewithsmallintestinallymphangioma,accountingfor3.1%(1/32).Malignanttumorsaccountedfor78.1%inprimarysmallintestinaltumor,withduodenumhorizontalsegmentandjejunumsegmentmalignanttumorsheldthelargestproportion.Mainsymptomsofmalignantsmallintestinaltumorsineludedabdominalpain,melenaandemaciation.Therewerenocomplicationsin33casesshownbyDBEexamination.ConelusionPrimarysmallintestinaltumormainlyincludesmalignanttumors,especiallyinduodenumhorizontalsegmentandjejunumuppersegment,alongwithabdominalpain,melenaandemaciationascommonsymptoms,DBEcontainshighaccuracyandsafetyindiagnosisofprimarysmallintestinaltumor.[Keywords]Doubleballoonendoscopy;Primarysmallintestinaltumor;Clinicopathologiccharacteristics原发小肠肿瘤临床发病率较低，约占胃肠道肿瘤的3%~6%o原发小肠肿瘤种类多，组织各异，临床表现缺乏特异性，易造成误诊、漏诊。本科近些年开展DBE检查，确诊了不少原发小肠肿瘤，避免了不必要的手术探查。本文通过对近5年本科经DBE确诊的原发小肠肿瘤临床、病理资料的回顾性分析，总结原发小肠肿瘤的特点，评价DBE对原发小肠肿瘤性疾病的临床应用价值1资料与方法1.1一般资料选取20"年1月~2015年12月本院行DBE检查的801例患者，其中经DBE及病理确诊原发小肠肿瘤32例，患者平均年龄52.41岁。其中男仃例，年龄14~74岁，女15例，年龄31-83岁2器械材料日本富士能(Fu激non)EN-450T5DBE以及气囊控制器PB-20、图像处理器等。内镜全长2000mm,带气囊外套管长1450mm,外径13.2mm,内径10.8mmoBS-1型气囊外径40mm,有效长50mm。工作钳道2.2mm盐酸达克罗宁胶浆，经肛进镜者检查前参照结肠镜检查给予复方聚乙二醇口服进行肠道准备。丙泊酚静脉麻醉，全程心电监护及氧饱和度监测。进...