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目的分析评价国产胶囊内镜对不明原因消化道出血的诊断价值。方法对13例曾进行胃镜及结肠镜检查未能明确诊断的不明原因消化道出血患者的胶囊内镜检查结果进行统计分析。结果 13例患者进行了14次胶囊内镜检查,除1例患者外,其他12例患者成功检查13次,成功率为92.86%(13/14),无穿孔、过敏等不良反应发生。11例检出病变,检出率为91.67%(11/12),其中小肠多发性溃疡4例,小肠多发性糜烂伴蛔虫及钩虫感染1例,小肠紫癜1例,小肠多发性憩室伴蛔虫感染1例,小肠糜烂2例,小肠黏膜呈节段性炎症性、增生性改变2例;1例未发现异常。结论胶囊内镜检查因其安全、患者无痛苦、检查阳性率高,可作为不明原因消化道出血的首选检查手段。
Objective To evaluate the diagnostic value of domestic capsule endoscopy in the diagnosis of gastrointestinal bleeding of unknown origin. Methods The results of capsule endoscopy in 13 patients with unexplained gastrointestinal bleeding who had been diagnosed by gastroscopy and colonoscopy were analyzed statistically. Results Thirteen patients underwent capsule endoscopy 14 times. Except for one patient, the other 12 patients were successfully inspected 13 times with a success rate of 92.86% (13/14). No perforation and allergic reactions occurred. 11 cases detected lesions, the detection rate was 91.67% (11/12), including multiple intestinal ulcers in 4 cases, multiple intestinal erosion with roundworm and hookworm infection in 1 case, 1 case of small intestinal purpura, multiple intestinal diverticulosis with roundworm infection 1 case, small intestine erosion in 2 cases, small intestinal mucosa was segmental inflammatory, hyperplastic changes in 2 cases; 1 case found no abnormalities. Conclusion Capsule endoscopy because of its safety, the patient painless, the positive rate of examination, can be used as the first choice of unknown causes of gastrointestinal bleeding.