胶囊内镜对不明原因消化道出血的诊断价值  

Diagnostic Value of Capsule Endoscopy for OGIB

作　　者：秦金玉[1] 郭天骄 王瑾[1] 王一平[1] 杨锦林[1] 

机构地区：[1]四川大学华西医院消化内科,四川成都610041

出　　处：《四川医学》2015年第3期282-285,共4页Sichuan Medical Journal

摘　　要：目的探讨胶囊内镜对不明原因消化道出血(obscure gastrointestinal bleeding,OGIB)的诊断价值,分析OGIB病因及病变部位分布,以期为临床诊治该类患者提供指导意见。方法回顾性总结四川大学华西医院2009年6月至2013年11月期间210例因OGIB住院患者胶囊内镜检查的临床资料。结果 210例OGIB住院患者胶囊内镜检查发现病变185例(88.1%),其中肠血管病变66例(31.4%),炎性疾病55例(26.2%),息肉/肿瘤58例(27.6%),憩室6例(2.9%),寄生虫14例(6.7%)。58例息肉/肿瘤患者中有15例行外科手术治疗,术后病理证实为间质瘤9/15(60.0%),炎性纤维息肉4/15(26.7%),淋巴瘤及腺瘤各1例(6.7%)。结论引起不明原因消化道出血的主要病因依次为小肠血管疾病、息肉/肿瘤、炎性疾病。胶囊内镜为OGIB患者的进一步的诊断与治疗提供了有力依据,是目前其他检查无法代替的小肠疾病诊断的首选方法。Objective Investigate diagnostic value of capsule endoscopy for OGIB,analyze the etiology and lesion distri-bution of OGIB inpatients and look forward to offer practical guidance for clinical diagnosis and treatment. Methods Make a ret-rospective summary on 210 OGIB inpatients’ capsule endoscope examination materials from June 1,2009 to Nov. 25,2013 at West China hospital of Sichuan University. Results According to analysis of 210 OGIB inpatients’ capsule endoscope examination ma-terials,185 cases of them（88. 1%） are found to be lesions. It includes 66 cases（31. 4%） of intestinal vascular lesions,55 cases of inflammatory diseases（26. 2%）,58 cases of polyps or tumors（27. 6%）,6 cases of diverticulums（2. 9%） and 14 cases of para-sites（6. 7%）. Of 58 polyps or tumors patients,15 patients received surgical treatment. After pathological results analysis,we find that 60. 0% of them are stromal tumors,26. 7% are inflammatory fibroid polyps and 6. 7% are lymphoma and adenoma. Conclu-sion Main causes of OGIB are intestinal vascular disease,polyp/tumor and inflammatory disease. Capsule endoscopy may provide strong basis for OGIB patients’ further diagnosis and treatment,which is the preferred method for small intestine disease diagnosis and can’ t be replaced by other examinations at present.

关 键 词：不明原因消化道出血 病因 OMOM胶囊内镜 住院患者 

分 类 号：R57[医药卫生—消化系统]