中国当代儿科杂志2025，Vol.27Issue(7)：822-828,7.DOI:10.7499/j.issn.1008-8830.2411045
单气囊与双气囊小肠镜检查术在儿童小肠疾病中的临床应用:一项576例回顾性研究
Clinical application of single-balloon and double-balloon enteroscopy in pediatric small bowel diseases:a retrospective study of 576 cases
摘要
Abstract
Objective To evaluate the effectiveness of single-balloon and double-balloon enteroscopy in diagnosing pediatric small bowel diseases and assess the diagnostic efficacy of computed tomography enterography(CTE)for small bowel diseases using enteroscopy as the reference standard.Methods Clinical data from 576 children who underwent enteroscopy at Hunan Children's Hospital between January 2017 and December 2023 were retrospectively collected.The children were categorized based on enteroscopy type into the single-balloon enteroscopy(SBE)group(n=457)and double-balloon enteroscopy(DBE)group(n=119),and the clinical data were compared between the two groups.The sensitivity and specificity of CTE for diagnosing small bowel diseases were evaluated using enteroscopy results as the standard.Results Among the 576 children,small bowel lesions were detected by enteroscopy in 274 children(47.6%).There was no significant difference in lesion detection rates or complication rates between the SBE and DBE groups(P>0.05),but the DBE group had deeper insertion,longer procedure time,and higher complete small bowel examination rate(P<0.05).The complication rate during enteroscopy was 4.3%(25/576),with 18 cases(3.1%)of mild complications and 7 cases(1.2%)of severe complications,which improved with symptomatic treatment,surgical,or endoscopic intervention.Among the 412 children who underwent CTE,the sensitivity and specificity for diagnosing small bowel diseases were 44.4%and 71.3%,respectively.Conclusions SBE and DBE have similar diagnostic efficacy for pediatric small bowel diseases,but DBE is preferred for suspected deep small bowel lesions and comprehensive small bowel examination.Enteroscopy in children demonstrates relatively good overall safety.CTE demonstrates relatively low sensitivity but comparatively high specificity for diagnosing small bowel diseases.关键词
小肠疾病/单气囊小肠镜检查术/双气囊小肠镜检查术/小肠CT造影/儿童Key words
Small bowel disease/Single-balloon enteroscopy/Double-balloon enteroscopy/Computed tomography enterography/Child引用本文复制引用
李灿琳,刘晨曦,周娟,袁玲芝,赵红梅,游洁玉,罗艳红,欧阳红娟,刘莉,张文婷,段佳琪,姜娜,湛美正..单气囊与双气囊小肠镜检查术在儿童小肠疾病中的临床应用:一项576例回顾性研究[J].中国当代儿科杂志,2025,27(7):822-828,7.基金项目
国家临床重点专科重大科研专项(Z2023150、Z2023061) （Z2023150、Z2023061）
湖南省自然科学青年基金项目(2025JJ1767) （2025JJ1767）
湖南省自然科学基金部门联合项目(2025JJ2667) （2025JJ2667）
湖南省卫生健康委一般资助课题(B202306017893). （B202306017893）
