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消化胶囊内镜对不明原因消化道出血的诊断价值研究

Diagnostic value of capsule endoscopy in obscure gastrointestinal bleeding

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【作者】 龙靖华陈耀华梁浓亮梁健张国安智发朝

【Author】 LONG Jinghua,CHEN Yaohua,LIANG Nongliang,LIANG Jian,ZHANG Guo′an,ZHI Fachao Department of Digestion,the People′s Hospital in Jiangmen City of Guangdong Province,Jiangmen 529020,China

【机构】 广东省江门市人民医院消化科

【摘要】 目的:探讨消化胶囊内镜对不明原因消化道出血的诊断价值。方法:回顾性分析2007年1月~2009年1月因不明原因消化道出血入选我院胶囊内镜检查的患者128例,分析其一般资料、出血类型及检查结果。结果:共纳入128例不明原因消化道出血患者,其中83例(64.8%)获阳性结果。根据出血类型分为显性出血者82例,隐性出血者46例,组间阳性诊断率比较,差异均无统计学意义(均P>0.05)。血管发育异常为最常见病因,其次为小肠恶性肿瘤。结论:胶囊内镜在不明原因消化道出血的检查中安全、无创,患者痛苦少,且阳性诊断率高,值得临床推广应用。

【Abstract】 Objective: To evaluate the effect of capsule endoscopy in patients with obscure gastrointestinal bleeding.Methods: The data of 128 patients referred in our hospital from January 2007 to January 2009 for the investigation of obscure gastrointestinal bleeding were retrospectively analyzed.Their general information,bleeding patterns and test results were collected for analysis.Results: A total of 83 patients(64.8%) were obtained positive findings.82 patients were presented with overt obscure gastrointestinal bleeding while 46 patients with occult obscure gastrointestinal bleeding,and there was no significant difference between the two groups(all P>0.05).Angiodysplasias were the most frequent lesions identified,malignant tumor of small intestine were less frequently seen.Conclusion: Capsule endoscopy is a safe,non-invasive method,less pain for the patients,and positive diagnosis rate is high,it is worthy of clinical use.

【基金】 广东省江门市医学卫生科学技术研究项目(项目编号:20070102)
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2011年31期
  • 【分类号】R57
  • 【被引频次】5
  • 【下载频次】52
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