胶囊内镜在老年人不明原因消化道出血病因诊断中的意义  

Significance of capsule endoscopy in etiological diagnosis of obscure gastrointestinal bleeding in the elderly

作　　者：杨丽清[1] 陈平湖[1] 叶伟智[1] 卓宇宏 卢小红[1] 

机构地区：[1]广东省湛江中心人民医院消化内科,广东湛江524023

出　　处：《广东医学院学报》2016年第1期65-66,共2页Journal of Guangdong Medical College

摘　　要：目的分析胶囊内镜在老年人不明原因消化道出血（OGIB）病因诊断中的意义。方法回顾性分析60例老年不明原因消化道出血患者进行胶囊内镜检查及小肠气钡双重造影检查患者的临床资料,对比分析胶囊内镜与小肠气钡双重造影检查的阳性率。结果 60例患者均顺利完成检查,胶囊内镜的阳性检出率为78.33%,明显高于小肠气钡双重造影的5.0%（χ^2=66.377,P〈0.01）。结论胶囊内镜检查对小肠病变诊断率高,尤其适用于老年不明原因消化道出血患者。Objective To evaluate the diagnostic potential of capsule endoscopy in obscure gastrointestinal bleeding in the elderly. Methods Clinical data of 60 elderly patients with obscure gastrointestinal bleeding subject to capsule endoscopy and double contrast barium enema were retrospectively analyzed, and their positive rate was compared. There were 45 males and 15 females. Their average age was 67.2 years old, ranging from 60 to 85. Of 60 patients, 50 underwent gastroscopy and colonoscopy whereas the other 10 received no examination. Results The examination was successfully completed in 60 patients with no discomfort. The positive detection rate of capsule endoscopy was 78.33% while that of double contrast barium enema was 5%. There was significant difference between the two groups（χ^2 =66.377, P〈0.01）. Conclusion Capsule endoscopy is an noninvasive examination method and has a high diagnostic rate of the lesions in small intestine. It is especially suitable for elderly patients with 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]