胶囊内镜联合双气囊小肠镜诊治不明原因消化道出血的价值研究  

Value of capsule endoscopy combined with double balloon enteros copy in diagnosis and treatment of unexplained gastrointestinal bleeding

作　　者：黄应文 邓园园 王丽娟[1] 王林[1] 周俊[1] HUANG Yingwen;DENG Yuanyuan;WANG Lijuan;WANG Lin;ZHOU Jun(Department of Gastroenterology,924th Hospital of Joint Logistic Support Force of PLA,Guilin,Guangxi 541000)

机构地区：[1]中国人民解放军联勤保障部队第924医院消化科,广西桂林541000

出　　处：《当代医药论丛》2022年第17期132-134,共3页

基　　金：广西壮族自治区卫生健康委员会自筹经费科研项目(Z20201300)。

摘　　要：目的:探讨胶囊内镜(CE)联合双气囊小肠镜(DBE)在不明原因消化道出血(OGIB)诊疗中的应用价值。方法:随机选取2015年6月至2020年4月在解放军联勤保障部队第924医院接受治疗的74例OGIB患者进行研究,采用胶囊内镜和(或)双气囊小肠镜对其进行检查,分析不同进镜方式的出血原因检出率、显性出血和隐性出血检出率及随访情况。结果:74例OGIB患者中,明确小肠出血原因的66例,8例行胶囊内镜及小肠镜均未找到出血灶。66例明确小肠出血原因患者中,黏膜炎症出血为3例,血管病变出血为10例,小肠憩室出血6例,间质瘤14例,溃疡出血29例,钩虫病1例,克罗恩病3例,内镜下止血后再出血1例。其中转外科手术治疗21例,术后再出血1例。结论:在OGIB患者中,CE(胶囊内镜)检查对溃疡出血、小肠肿瘤、憩室病因诊断低于DBE(双气囊小肠镜)检查;CE与DBE联合应用能提高OGIB疾病的诊治率。Objective:To investigate the application value of capsule endoscopy(CE)combined with double balloon enteroscopy(DBE)in the diagnosis and treatment of unexplained gastrointestinal bleeding(OGIB).Methods:randomly selected from June 2015 to April 2020 in the people’s liberation army 924 hospital logistic support forces of 74 patients with OGIB was studied,using capsule endoscopy and double-balloon enteroscopy(or)for examination,analysis of different ways into the mirror,detection rate of the causes of the bleeding detection and follow-up of overt bleeding and recessive bleeding.Results:Among the 74 patients with OGIB,66 cases had clear cause of small intestinal bleeding,and 8 cases underwent capsule endoscopy and colonoscopy,but no bleeding foci were found.Among the 66 patients with clear cause of small intestinal bleeding,there were 3 cases of mucosal inflammatory bleeding,10 cases of vascular bleeding,6 cases of small intestinal diverticulum bleeding,14 cases of stromal tumor,29 cases of ulcer bleeding,1 case of hookworm disease,3 cases of Crohn’s disease,and 1 case of rebleeding after endoscopic hemostasis.Among them,21 cases were transferred to surgical treatment,and 1 case had postoperative rebleeding.Conclusions:In patients with OGIB,CE(capsule endoscopy)is lower than DBE(double balloon colonoscopy)in the diagnosis of ulcer bleeding,small intestinal tumor and diverticulum.The combination of CE and DBE can improve the diagnosis and treatme nt rate of OGIB disease.

关 键 词：双气囊小肠镜 不明原因消化道出血 胶囊内镜 

分 类 号：R445[医药卫生—影像医学与核医学]