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目的研究分析食管胶囊内镜右侧卧位检查改进法的临床应用价值。方法 60例消化科需进行食管胶囊内镜检查的患者,随机分为观察组与对照组,各30例。对照组采取右侧卧位的检查法,观察组采取改进的检查法,对比两组患者胶囊内镜食管通过的时间,齿状线和食管的清晰度、可视范围及食管检查的安全性和舒适性等。结果观察组患者食管中位通过的时间显著长于对照组,差异具有统计学意义(P<0.05)。观察组患者的齿状线和食管的可视范围评分均显著高于对照组,差异具有统计学意义(P<0.05)。两组患者齿状线和食管的清晰度情况比较差异无统计学意义(P>0.05)。对照组患者在检查中有3例出现一过性呛咳,观察组则无此情况出现。结论相比较于右侧卧位检查法,改进检查法在取得同样齿状线和食管清晰度的情况下,具有更加广泛的可视范围及更佳的安全性和舒适性。
Objective To study the clinical value of esophageal capsule endoscopic right lateral examination improved method. Methods Sixty patients with gastroenterology who underwent esophageal capsule endoscopy were randomly divided into observation group and control group, with 30 cases in each group. Control group to take the test of the right lateral position, the observation group to take an improved examination, compared two groups of patients capsule endoscopic esophageal passage of time, dentate and esophageal clarity, visual range and safety of esophageal examination and Comfort and more. Results The esophageal median transit time in observation group was significantly longer than that in control group, the difference was statistically significant (P <0.05). The visual range of the dentate line and the esophagus in the observation group were significantly higher than that in the control group, the difference was statistically significant (P <0.05). There was no significant difference in the definition of dentate line and esophagus between the two groups (P> 0.05). In the control group, 3 patients had transient cough during the examination, while the observation group did not. Conclusion Compared with the right lateral decubitus examination, the improved examination has a wider visual range and better safety and comfort with the same dentate line and esophageal clarity.