不同年龄段不明原因消化道出血患者的胶囊内镜检查结果分析  

作　　者：温晋锋[1] 郭利华[1] 庞宁儿 李琪儿 周玉平 张新军[1] 

机构地区：[1]宁波大学医学院附属医院,315020

出　　处：《浙江临床医学》2018年第5期851-853,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省宁波市自然科学基金（2016A610121）

摘　　要：目的 分析不同年龄段不明原因消化道出血（OGIB）患者的胶囊内镜检查结果,探讨不同年龄段患者的出血原因.方法 选取2010年7月至2017年7月OGIB行胶囊内镜检查的患者129例,分为青年组、中年组及老年组,采集患者信息,对胶囊内镜检查结果进行汇总分析.结果 129例患者中126例完成胶囊内镜检查,95例发现病灶,诊断阳性率75.40％.老年组最常见病因为小肠血管发育不良（41.46％）及小肠黏膜糜烂（26.83％）,中年组为小肠溃疡（27.90％）及小肠黏膜糜烂（20.93％）,青年组为小肠溃疡（40.48％）.青年组胶囊内镜在小肠运行时间最短,检查结果阴性率最高.结论 胶囊内镜检查对不明原因消化道出血有良好的诊断价值,不同年龄段患者主要出血原因有差异性.Objective To analysis the results of capsule endoscopy and summarize the pathological features in obscure gastrointestinal bleeding patients in different ages. Methods 129 patients with obscure gastrointestinal bleeding in our hospital from July 2010 to July 2017 were divided into three groups： the young, the middle-aged and the old patients. Their clinical data were collected and lesion characteristics were analyzed. Results Of the 129 cases, 126 had finished the CE and 96 were founded the lesions. The rate of positive diagnose was 75.4%. The most common disease in the elderly group were small intestinal vascular dysplasia （ 41.46% ） and intestinal mucosal erosion （ 26.83% ） , middle age group were small intestinal ulcer （ 27.90% ） and intestinal mucosa erosion （ 20.93% ） , and young group was small intestinal ulcer （ 40.48% ） . The intestinal transit time in the young patients was significantly shorter and the diagnostic negative rate of capsule endoscopy was significantly higher than that in other groups. Conclusion CE is a safe and effective procedure for patients with obscure gastrointestinal bleeding. The main causes are different among the patients with different ages.

关 键 词：胶囊内镜 不明原因消化道出血 溃疡 黏膜糜烂 血管发育不良 

分 类 号：R573.2[医药卫生—消化系统]