胶囊内镜在不明原因小肠出血中的临床应用  

Value of capsule endoscopy in diagnosis of obscure small intestinal bleeding diseases

作　　者：吴贵恺[1] 杨秋香[2] 郑荣娟[1] 唐文君[1] 霍红[1] 司雁菱[1] 

机构地区：[1]河北医科大学附属唐山工人医院消化科,063000 [2]河北省唐山市协和医院,063000

出　　处：《重庆医学》2010年第16期2174-2175,共2页Chongqing medicine

摘　　要：目的探讨胶囊内镜对小肠出血的诊断应用价值。方法应用胶囊内镜对23例不明原因小肠出血的患者进行检查。结果 23例均顺利的完成了胶囊内镜检查,无并发症及不良反应发生。其中检出小肠炎6例,小肠血管发育不良4例,小肠克罗恩病1例,麦克尔憩室1例,阳性率占52.17%,3例急性出血期行胶囊内镜检查患者均未检出病变。结论胶囊内镜是一项无创、安全的检查,对非出血期的不明原因小肠出血患者有较高的诊断价值。Objective To evaluate the value of capsule endoscopy in the diagnosis of obscure small intestinal bleeding diseases.Methods Twenty-three patients suffered from obscure small intestinal bleeding diseases were examined through capsule endoscopy.Results Complications and side effects were not found in these patients.Among the 23 patients,there were 6cases of enteritis,4 cases of small intestinal angiodysplasia,1 case of small intestinal Crohn＇s disease,and 1 case of Meckel＇s diverticulum.The etiological diagnostic accuracy of capsule endoscopy was 52.17%.No diagnosis was accomplished in the 3 patients who were still in the stage of bleeding.Conclusion Capsule endoscopy is a safe examination and has high diagnostic value in the detection of the small intestinal bleeding diseases in silent period.

关 键 词：胶囊内镜 小肠出血 诊断 

分 类 号：R574.504[医药卫生—消化系统]