胶囊内镜对不同年龄人群不明消化道出血的诊断价值  

Diagnostic Analysis of Capsule Endoscopy in Obscure Gastrointestinal Bleeding Patients in Different Ages

作　　者：何治军[1] 邓天伟 王孟仙[1] 宁敏曼[1] 

机构地区：[1]重庆市第五人民医院消化内科,重庆400062 [2]重庆市三峡中心医院消化内科,重庆404000

出　　处：《中国医药导刊》2016年第6期576-578,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：对不同年龄人群不明原因消化道出血患者的胶囊内镜检查结果进行分析总结,了解不同年龄人群患者的病变特点。方法：对2013年1月～2014年9月期间来我院检查的符合纳入标准的患者113例患者进行信息采集,分析病变特点。结果：青年组小肠运转时间显著少于中年组和老年组（P〈0.05）;青年组血管发育不良阳性诊断率显著低于中年组、老年组,而小肠溃疡阳性检出率显著高于中年组、老年组（均P〈0.05）。结论：提示胶囊内镜检查对青年组患者的不明原因消化道出血有更好的检出率,但在诊断方面仍需进一步完善。Objective： To analyse the examination results of capsule endoscopy（CE） and summarize the pathological featuresin obscure gastrointestinal bleeding patientsin different ages.Methods：113 patients with obscure gastrointestinal bleeding wererecruited in our hospital from Jan.2013 to Sep.2014,their clinical data were collected and lesion charicteristics were analyzed.Results：Small intestine transit time of the youth group patients was obviously higher than that of middle-aged group andelderlygroup（P〈0.05）;Vascular dysplasia positive diagnosis of elderly group was below than that of middle-aged group andelderly group（P〈0.05）,and small intestine ulcers positive diagnosis ratio was higher than middle-aged group and elderly group（P〈0.05）.Conclusion：Differences in detection or diagnostic rates were statistically significant in all age groups,indicated that CEhave a better detection rate in the young with obscure gastrointestinal bleeding.It needs more studies to investigate the differenceof making the diagnose.

关 键 词：胶囊内镜 消化道出血 年龄 检出率 

分 类 号：R573.2[医药卫生—消化系统]