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目的分析评价胶囊内镜对小肠出血的诊断价值。方法对笔者所在科97例疑诊小肠出血的胶囊内镜检查结果进行统计分析。结果 97例患者均顺利完成检查,平均通过小肠时间为297 min,胶囊内镜检查有效时间内7例未通过回盲瓣。共检出小肠病变86例,结合临床明确小肠出血部位及病因79例,诊断率为81.44%。其病因包括:毛细血管扩张表现11例,小肠静脉血管畸形39例,小肠多发溃疡7例,小肠黏膜炎性糜烂导致出血18例,小肠肿瘤6例,克罗恩病5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 capsule endoscopy on small intestinal bleeding. Methods The author of the Department of 97 cases of suspected small intestinal bleeding capsule endoscopy results were statistically analyzed. Results All of the 97 patients completed the examination successfully, with an average passage of 297 min through the small intestine. Seven patients failed to pass the ileocecal valve within the effective time of capsule endoscopy. Totally 86 cases of small intestine lesion were detected. According to the clinical manifestations of small intestine hemorrhage and 79 cases, the diagnosis rate was 81.44%. The etiology include: the performance of telangiectasia in 11 cases, 39 cases of small intestinal venous malformations, multiple small ulcers in 7 cases, small intestinal mucosal inflammatory erosion in 18 cases led to bleeding, small intestinal tumors in 6 cases, Crohn’s disease in 5 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.