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目的:探讨小肠疾病诊断中应用胶囊内镜的作用。方法:选择我院2014年3月-2016年3月接诊的疑似为小肠疾病的患者50例作为研究对象,纳入研究对象均有完整临床资料,回顾性分析他们的临床资料,均接受胶囊内镜与全胃肠造影检查,比较两种诊断结果。结果:胶囊内镜检查小肠疾病阳性率高达86.00%,显著高于全胃肠造影检查60.00%(P<0.05),其中器质性病变阳性率、功能性病变阳性率胶囊内镜检查分别为84.00%、2.00%,全胃肠造影检查则依次为6.00%、54.00%,两种诊断结果差异有统计学意义(P<0.05)。结论:胶囊内镜诊断小肠疾病符合率较高,尤其是器质性病变诊断效果比较理想,但功能性病变诊断结果差,可采取全胃肠造影检查作为补充,从而为临床诊断提供更多依据。
Objective: To investigate the role of capsule endoscopy in the diagnosis of small bowel disease. Methods: Fifty patients suspected to be small bowel diseases admitted to our hospital from March 2014 to March 2016 were enrolled in this study. All the patients included in the study had complete clinical data, and their clinical data were retrospectively analyzed. All patients underwent intracapsular Mirror and total gastrointestinal imaging, comparison of two diagnostic results. Results: The positive rate of capsule endoscopy was 86.00%, significantly higher than that of total gastrointestinal imaging (60.00%) (P <0.05). The positive rate of organic disease and the positive rate of functional lesion by capsule endoscopy were 84.00 %, 2.00%, total gastrointestinal imaging were followed by 6.00%, 54.00%, the difference between the two diagnostic results was statistically significant (P <0.05). Conclusion: The diagnosis of small bowel disease by capsule endoscopy has a high coincidence rate, especially for the diagnosis of organic disease, but the diagnosis of functional lesion is poor, which can be supplemented by total gastrointestinal imaging to provide more evidence for clinical diagnosis .