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目的分析评价OMOM胶囊内镜对疑诊小肠出血的诊断价值。方法对37例考虑小肠出血的胶囊内镜检查结果进行统计分析。结果37例患者均顺利完成检查,平均通过小肠时间为284min,胶囊内镜检查有效时间内4例未通过回盲瓣。共检出小肠病变33例,结合临床明确小肠出血部位及病因31例,诊断率为83.78%。病因包括:毛细血管扩张表现4例,小肠静脉血管畸形11例,小肠多发溃疡3例,小肠黏膜炎性糜烂导致出血7例,小肠肿瘤4例,克罗恩病2例。结论患者对胶囊内镜耐受性好,胶囊内镜是小肠出血的安全、有效、舒适的检查手段,在小肠出血诊断中有着特殊优势。
Objective To evaluate the diagnostic value of OMOM endoscopy in the diagnosis of suspected small intestinal bleeding. Methods 37 cases of small intestinal bleeding taking capsule endoscopy results were statistically analyzed. Results All the 37 patients completed the examination smoothly, with an average passage of 284 min through the small intestine. Four patients failed to pass the ileocecal valve within the effective time of capsule endoscopy. A total of 33 cases of small intestinal lesions were detected, with a clear clinical location of intestinal bleeding and 31 cases, the diagnostic rate was 83.78%. Causes include: 4 cases of telangiectasia, 11 cases of small intestinal venous malformations, 3 cases of small intestine multiple ulcers, inflammatory bowel mucosal bleeding in 7 cases, 4 cases of small bowel cancer, Crohn’s disease in 2 cases. Conclusion The patient is well tolerated by capsule endoscopy. Capsule endoscopy is a safe, effective and comfortable examination method for small intestinal bleeding. It has special advantages in the diagnosis of small intestinal bleeding.