胶囊内镜对老年人不明原因消化道出血病因诊断的初步探讨  

The Initial Evaluation to the Diagnosis Value of Capsule Endoscopies on the Cause of Obscure Gastrointestinal Bleeding in Elderly Patients

作　　者：郭永红[1] 王海琴[1] 龙利民[1] 韩卓辉[1] 

机构地区：[1]中南大学湘雅二医院老年科,湖南长沙410011

出　　处：《医学临床研究》2007年第2期277-278,共2页Journal of Clinical Research

摘　　要：【目的】初步评价胶囊内镜对老年人不明原因消化道出血病因诊断的价值。【方法】分析2004年11月至2006年10月12例不明原因消化道出血老年病人行胶囊内镜检查的结果。【结果】胶囊内镜共检出10例患者12处病变:胃体肿瘤1例、胃溃疡1例、出血性胃窦炎1例、肠道血管畸形3例、小肠息肉3例、空肠平滑肌瘤1例、小肠淋巴瘤1例、小肠克罗恩病1例;2例阴性。病变检出率为83.3%(10/12例),其中7例明确了消化道出血的病因(3例患者经手术病理证实),诊断率为58.3%(7/12例)。【结论】胶囊内镜检查无创、安全,对老年人不明原因消化道出血具有较高的诊断价值。[Objective]To evaluate the diagnostic potential of capsule endoscopies （CE） on the cause of obscure gastrointestinal bleeding （OGB） in elderly patients. [Methods]The 12 cases OGB outcomes of CE from November 2004 to December 2006 were reviewed. [Results]CE disclosed 12 lesions in 10 patients, 1 including gastric tumor, 1 gastric ulcer, 1 hemorrhagic gastritis,3 vascular abnormalities,3 small bowel polypi, 1 jejunal leiomyoma, 1 small bowel lymphoma, 1 Crohn disease,other 2 cases as negative findings. CE disclosed definite bleeding sites in 7 of 12 patients of OGB（ 58. 3%）. Partial cases were verified by operation and pathology. [Conclusion]CE is a safe, noinvasive method, and has a higher diagnostic yield to obscure gastrointestinal bleeding in elderly patients.

关 键 词：胶囊 内窥镜检查 胃肠道 胃肠出血/诊断 

分 类 号：R573[医药卫生—消化系统]