摘要
目的分析评价胶囊内镜对小肠出血的诊断价值。方法对笔者所在科97例疑诊小肠出血的胶囊内镜检查结果进行统计分析。结果 97例患者均顺利完成检查,平均通过小肠时间为297 min,胶囊内镜检查有效时间内7例未通过回盲瓣。共检出小肠病变86例,结合临床明确小肠出血部位及病因79例,诊断率为81.44%。其病因包括:毛细血管扩张表现11例,小肠静脉血管畸形39例,小肠多发溃疡7例,小肠黏膜炎性糜烂导致出血18例,小肠肿瘤6例,克罗恩病5例。结论患者对胶囊内镜耐受性好,胶囊内镜是小肠出血的安全、有效、舒适的检查手段,在小肠出血诊断中有着特殊优势。
Objective To assess the value of capsule endoscopy in diagnosing obscure bleeding of small intestinal origin.Methods The outcome in 97 patients with obscure small intestinal bleeding undergoing capsule endoscopy were analysed.Results The 97 patients were successfully examined.The mean time for capsule getting pass the small intestinal duct was 297 mins;7 patients failing to get through ileocecal valve during the working time of capsule.Mucosa lesion were totally found in 86 patients,combined with clinical findings bleeding sites were identified in 79 patients,thus the diagnosis rate being 81.44%.The etiology included： telangiectasis in 10 patients,veinous malformation in 39,multiple sites ulcer in 7,ileac erosion leading to bleeding in 18,small intestine neoplasms in 6,Crohn＇s disease in 5.Conclusion Capsule endoscopy is a safe,effective and well-tolerated modality in visualizing the small intestine in patients with undermined bleeding origin,reflecting the its advantages in diagnosis for small intestinal bleeding.
出处
《实用医药杂志》
2012年第4期293-295,共3页
Practical Journal of Medicine & Pharmacy
关键词
胶囊内镜
小肠出血
诊断
Capsule endoscopy
Small intestine bleeding
Diagnosis
