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本文总结分析1979年10月~1995年10月间183例纤维空肠镜检查及小肠粘膜活检结果.完成检查178例,成功率为97.2%;其中,正常空肠粘膜66例,浅表性空肠炎75例,萎缩性空肠炎23例,十二指肠水平部腺癌2例,毛细血管扩张症1例.本文就检查的适应症、检查方法、要点以及空肠粘膜活检的意义进行讨论及分析.作者认为:纤维空肠镜检查适用于原因不明之上消化道出血及各种原因空肠上段疾病,其并发症少,配合小肠粘膜活检对于小肠疾病的检出率有一定的临床价值.本文提出萎缩性空肠炎绒毛高度及炎细胞浸润程度的参考标准.作者认为纤维空肠镜检查、小肠粘膜活检、扫描电镜以及组织化学检查对于提高小肠疾病的诊断水平有着重要的意义.
This paper summarizes the results of 183 cases of fiber colonoscopy and small intestinal mucosal biopsy in 183 cases from October 1979 to October 1995. 178 cases were examined with a success rate of 97.2%. Among them, 66 cases of normal jejunal mucosa, superficial jejunitis 75 Cases, 23 cases of atrophic jejunitis, 2 cases of adenocarcinoma of the duodenum and 1 cases of telangiectasia.This article discusses the indications, examination methods, key points and the significance of jejunal mucosal biopsy. It is considered that the fiber colonoscopy is applicable to upper gastrointestinal tract diseases with unknown cause and gastrointestinal bleeding and its complications are few with small intestinal mucosal biopsy for the detection rate of intestinal diseases have certain clinical value.This paper proposes atrophic empty Enteritis villi height and inflammatory cell infiltration reference standard.The authors believe that fiber colonoscopy, small intestinal mucosal biopsy, scanning electron microscopy and histochemical examination for the improvement of the diagnosis of small bowel disease is of great significance.