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目的探讨胶囊内镜对小肠疾病的诊断价值。方法 80例在肠、胃镜像检查中未知病因的腹部不适患者作为观察组,有消化道不明原因出血、腹痛等症状。另外选取医院的20例无消化道症状的患者作为对照组。分别对两组进行胶囊内镜检查,通过图像分析患者具体症状。结果所有患者均完成胶囊内镜的检查,除了1例患者的胶囊未排出体外,其余的在2~6 d内都排出。观察组中,小肠病变的检出率为72.5%(58例),其中炎性病变18例、血管病变32例、小肠溃疡11例、结节型病变以及小肠寄生虫、息肉、异物等症状14例。对照组中小肠病变的检出率为25.0%(5例)。结论胶囊内镜能提高患者小肠疾病的检出率,使患者能及时获得治疗,因此具有重要诊断价值。
Objective To investigate the diagnostic value of capsule endoscopy on small intestine disease. Methods Totally 80 patients with abdominal discomfort with unknown etiology in the intestine and stomach were selected as the observation group, with the symptoms of gastrointestinal bleeding, abdominal pain and other unknown causes. In addition, 20 patients without digestive symptoms in the hospital were selected as the control group. Capsule endoscopy was performed on both groups, and the patient’s specific symptoms were analyzed by image. Results All patients completed capsule endoscopy, except that 1 patient’s capsule was not excreted and the remainder was excreted within 2 to 6 days. In the observation group, the detection rate of small intestine lesions was 72.5% (58 cases), including 18 inflammatory lesions, 32 vascular lesions, 11 small intestinal ulcers, nodular lesions and small intestine parasites, polyps, foreign body and other symptoms 14 example. The incidence of small intestine lesions in control group was 25.0% (5 cases). Conclusion Capsule endoscopy can improve the detection rate of intestinal diseases in patients with timely access to treatment for patients, it has important diagnostic value.