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目的:分析双气囊小肠镜在可疑小肠出血患者中对病因诊断和预后的影响。方法:选择我科2012年7月至2015年4月怀疑小肠出血患者共66例,随机分为双气囊小肠镜组和胶囊内镜组,对比两种检查方法的病因诊断价值和对治疗及预后的影响。结果:双气囊小肠镜的检查时间和耐受性评分显著低于胶囊内镜,P<0.05。双气囊小肠镜的病变诊出率为93.94%(31/33),显著高于胶囊内镜的病变诊出率60.61%(20/33),χ~2=5.741 6,P<0.01;双气囊小肠镜的病因诊断率为87.88%(29/33),显著高于胶囊内镜的病因诊断率48.48%(16/33),χ~2=6.491 7,P<0.01。双气囊小肠镜病因诊断准确率为100%(29/29),胶囊内镜病因诊断准确率为87.50%(14/16),二者比较差异无统计学意义,P>0.05。结论:双气囊小肠镜对于可疑小肠出血患者的诊断价值优于胶囊内镜,同时可行内镜下治疗,可有效改善患者预后。
Objective: To analyze the impact of double balloon enteroscopy on the diagnosis and prognosis of suspected small intestinal bleeding. Methods: Sixty-six patients with suspected small intestinal hemorrhage from July 2012 to April 2015 in our department were randomly divided into double-balloon enteroscopy and capsule endoscopy to compare the diagnostic value of the two methods in diagnosis and prognosis Impact. Results: The time and tolerability score of double balloon enteroscopy were significantly lower than those of capsule endoscopy (P <0.05). The diagnostic rate of double balloon enteroscopy was 93.94% (31/33), significantly higher than that of capsule endoscopy (60.61%, 20/33), χ ~ 2 = 5.741 6, P <0.01; The etiological diagnosis rate of enteroscopy was 87.88% (29/33), which was significantly higher than that of capsule endoscopy (48.48%, 16/33), χ ~ 2 = 6.491 7, P <0.01. The diagnostic accuracy of double balloon enteroscopy was 100% (29/29), and the diagnostic accuracy of capsule endoscopy was 87.50% (14/16). There was no significant difference between the two groups (P> 0.05). Conclusion: Double balloon enteroscopy is superior to capsule endoscopy in the diagnosis of suspected small intestinal bleeding, and endoscopic treatment is feasible, which can effectively improve the prognosis of patients.