国产胶囊内镜对不明原因消化道出血的诊断价值  

Value of Capsule Endoscopy in Diagnosing Obscure Gastrointestinal Bleeding

作　　者：王云[1] 易小敏[1] 王毅[1] 莫乐君[1] 

机构地区：[1]广西玉林市第一人民医院消化内科,537000

出　　处：《中华全科医学》2011年第5期688-689,F0003,共3页Chinese Journal of General Practice

摘　　要：目的分析评价国产胶囊内镜对不明原因消化道出血的诊断价值。方法对13例曾进行胃镜及结肠镜检查未能明确诊断的不明原因消化道出血患者的胶囊内镜检查结果进行统计分析。结果 13例患者进行了14次胶囊内镜检查,除1例患者外,其他12例患者成功检查13次,成功率为92.86%(13/14),无穿孔、过敏等不良反应发生。11例检出病变,检出率为91.67%(11/12),其中小肠多发性溃疡4例,小肠多发性糜烂伴蛔虫及钩虫感染1例,小肠紫癜1例,小肠多发性憩室伴蛔虫感染1例,小肠糜烂2例,小肠黏膜呈节段性炎症性、增生性改变2例;1例未发现异常。结论胶囊内镜检查因其安全、患者无痛苦、检查阳性率高,可作为不明原因消化道出血的首选检查手段。Objective To assess the value of capsule endoscope（made in china） in the diagnosis of obscure gastrointestinal bleeding.Methods The capsule endoscopy was performed in 13 patients with obscure gastrointestinal bleeding that the pathogeny was not found by gastroscopy and intestinal endoscopy.Results In all 14 times of capsule endoscopy,13 times of examinations in 12 patients were successful（92.86%） and no complications such as perforation and allergy occurred.The total detection rate of pathological changes was 91.67%（11/12）.There were 4 cases with small intestinal multiple ulcers;1 case with small intestinal multiple erosion,ancylostomiasis and ascariasis;1 case with small intestinal purpura;1 case with small intestinal multiple diverticulums and ascariasis;2 cases with small intestinal erosion,2 cases with small intestinal segmental inflammation and hyperplasia.One case was normal.Conclusion Capsule endoscopy has the advantage of higher safety,freedom of injury and higher diagnosis rate,and can be recommended as the primary diagnosis method for the obscure gastrointestinal bleeding

关 键 词：胶囊内镜 不明原因消化道出血 诊断 

分 类 号：R573.2[医药卫生—消化系统] R574.64[医药卫生—内科学]