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目的:探讨胶囊内镜对小肠血管发育不良的临床诊断价值,为该类小肠血管病变的临床诊断提供参考手段.方法:选择2008-02/2013-11我院收治的不明原因消化系出血患者180例为研究对象,经胶囊内镜对其出血原因进行检查.对检出的血管发育不良患者进行单气囊小肠镜复检,以对小肠血管发育不良进一步确诊,并验证胶囊内镜对小肠血管发育不良的诊断率.结果:经胶囊内镜检查,180例患者的出现原因主要为小肠血管发育不良、克罗恩病、胃肠间质瘤等,检出小肠血管发育不良38例.小肠血管发育不良患者的单气囊复检结果与胶囊内镜结果一致,小肠血管发育不良的阳性检出一致率为97.37%.结论:胶囊内镜可有效查明不明消化系出血患者的病因,且对小肠血管发育不良具有较高的临床诊断价值,可与单气囊内镜相比拟.
Objective: To explore the value of capsule endoscopy on the diagnosis of intestinal vascular dysplasia, and to provide a reference for the clinical diagnosis of such intestinal vasculopathy.METHODS: The patients with unknown causes of hemorrhage from digestive system admitted to our hospital from February 2008 to November 2013 were enrolled Cases of the study, the capsule endoscopy on the causes of bleeding were examined.Detected vascular dysplasia in patients with single-balloon enteroscopy re-examination in order to further confirm the small bowel vascular dysplasia, and to verify the capsule endoscopy on intestinal vascular development Poor diagnosis rate.Results: After capsule endoscopy, 180 patients were mainly due to small bowel vascular dysplasia, Crohn’s disease, gastrointestinal stromal tumors, etc., detected in 38 cases of intestinal vascular dysplasia. The results of single-balloon re-examination of adverse patients were consistent with the results of capsule endoscopy, and the positive detection rate of intestinal vascular dysplasia was 97.37% .Conclusion: Capsule endoscopy can effectively identify the etiology of patients with unknown digestive tract hemorrhage, Dysplasia has a high clinical diagnostic value, comparable with single-balloon endoscopy.