胶囊内镜对不明原因消化道出血诊断价值的探讨  

The Diagnostic Value of Capsule Endoscopy for Obscure Gastrointestinal Bleeding

作　　者：杨智 仝巧云[1] 莫莉花[1] 杨院平[1] 曾梦优 刘磊[1] Yang Zhi;Tong Qiaoyun;Mo Lihua;Yang Yuanping;Zeng Mengyou;Liu Lei(Department of Gastroenterology, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang 443003, China;Institute of Digestive Diseases, China Three Gorges University, Yichang 443003, China)

机构地区：[1]三峡大学第一临床医学院(宜昌市中心人民医院)消化内科&三峡大学消化疾病研究所

出　　处：《巴楚医学》2019年第2期25-27,共3页Bachu Medical Journal

摘　　要：目的:探讨胶囊内镜对不明原因消化道出血的诊断价值。方法:选取我院2016年1月~2018年11月收治的不明原因消化道出血,且采取胶囊内镜检查的114例患者,进行回顾性分析。根据出血类型不同分为两组,显性出血组82例,隐性出血组32例,分析胶囊内镜对不明原因消化道出血的诊断价值。结果:114例患者均行全小肠胶囊内镜检查,未出现误吞气管、嵌顿小肠等并发症;检出P0病变28例(24.56%),P1病变40例(35.09%),P2病变46例(40.35%);胶囊内镜检查在不明原因消化道出血中,显性出血组与隐性出血组的诊断率比较,差异无统计学意义(P>0.05);而显性出血组疾病的检出率明显高于隐性出血组,差异有统计学意义(P<0.05)。结论:胶囊内镜在不明原因消化道出血的诊断中具有重要价值,对于显性出血的检出率较高。Objective: To analyze the diagnostic value of capsule endoscopy for obscure gastrointestinal bleeding.Methods: A total of 114 cases of obscure gastrointestinal bleeding with capsule endoscopy during January 2016 to November 2018 in our hospital were selected to implement retrospective analysis.According to the types of hemorrhage, all patients were divided into the dominant bleeding group ( n =82) and the recessive bleeding group ( n =32).Then the diagnostic effect of capsule endoscopy was further analyzed.Results: All patients had been examined the entire small intestine without complications, including swallowing into trachea and incarceration into small intestine.There were 28 patients with P0 lesions ( 24.56%), 40 patients with P1 lesions (35.09%) and 46 patients with P2 lesions (40.35%).There was no significant difference in the diagnostic rate between the dominant bleeding group and the recessive bleeding group ( P >0.05).The detection rate in the dominant bleeding group was significantly higher than that in the recessive bleeding group, and the difference was statistically significant ( P <0.05).Conclusion: Capsule endoscopy plays an important role in diagnosis of gastrointestinal bleeding of unknown causes and has a high detection rate of dominant bleeding.

关 键 词：胶囊内镜 不明原因消化道出血 诊断价值 

分 类 号：R574[医药卫生—消化系统]