胶囊内镜诊断不明原因消化道出血42例的临床分析  

Capsule Endoscopy in diagnosis of Obscure Gastrointestinal Bleeding:Clinical Analysis of 42 Cases

作　　者：龙晓奇 陈拥军[1] 荆晓娟[1] 杨彬[1] 

机构地区：[1]遂宁市中心医院消化内镜中心,629000

出　　处：《中国现代药物应用》2013年第15期22-24,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨胶囊内镜在诊断不明原因消化道出血患者中的临床价值。方法分析本院2009年4月至2012年12月间42例不明原因消化道出血患者行胶囊内镜检查的临床资料。结果 42例患者顺利完成检查,共检出病变37例,阳性检出率为88%。包括血管畸形27例,小肠间质瘤1例,新鲜出血3例,小肠溃疡4例,小肠多发异常隆起1例,小肠钩虫病3例,小肠憩室1例,非特异性炎症11例,其中14例患者同时存在2种病变。胶囊内镜检查中无任何不适和并发症。结论胶囊内镜应用于临床以来,能够较好的对不明原因消化道出血相关病因做出诊断,其安全性高、顺应性好,并已成为诊断小肠疾病的重要手段。Objective To discuss the clinical value of capsule endoscopy in the diagnosis of obscure gastrointestinal bleeding.Methods 42 cases with obscure gastrointestinal bleeding from April 2009 to December 2012 in our hospital were analyzed,which underwent capsule endoscopy.Results 42 patients successfully completed the examination,37 cases were detected,the positive detection rate was 88%.including 27 cases of vascular malformation,1 cases of small intestinal interstitialoma,3 cases of bleeding,4 cases of small intestinal ulcer,1 cases of small intestinal multiple abnormal uplift,3 cases of small intestinal hookworm disease,1 cases of small intestinal diverticulum,11 cases of non-specific inflammation,in which 14 cases had two lesions simultaneously.The patients none had any discomfort and complications in the capsule endoscopy examination.Conclusion Capsule endoscopy has been used in clinical,which can be better used to make a diagnosis of obscure gastrointestinal bleeding etiology,has high security and good compliance,and has become an important means in the diagnosis of small intestine diseases.

关 键 词：胶囊内镜 消化道出血 诊断 

分 类 号：R57[医药卫生—消化系统]