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目的探讨双气囊小肠镜在消化道出血临床诊断中的应用价值。方法选取2009年6月~2012年5月江西省都昌县人民医院收治的消化道出血患者160例,按照检查方式不同均分成2组(n=80)。观察组采用双气囊小肠镜检查,对照组采用胶囊内镜检查,观察2组病灶检出率和病因诊断率。结果观察组病灶检出率和病因诊断率分别为95.0%和81.3%,对照组分别为80.0%和50.0%,观察组显著高于对照组,差异有统计学意义(P<0.05)。结论在消化道出血临床诊断中采用双气囊小肠镜,能够提高患者的病灶检出率和病因诊断率,其中造成消化道出血的病因主要为小肠黏膜糜烂溃疡和血管病变。
Objective To investigate the value of double balloon enteroscopy in the clinical diagnosis of gastrointestinal bleeding. Methods 160 patients with gastrointestinal bleeding admitted to Duchang County People’s Hospital of Jiangxi Province from June 2009 to May 2012 were divided into two groups (n = 80) according to the examination method. Observation group using double balloon enteroscopy, control group using capsule endoscopy, the detection rate of 2 lesions and etiological diagnosis rate. Results The detection rate and etiological diagnosis rate of the observation group were 95.0% and 81.3% respectively, while those in the control group were 80.0% and 50.0% respectively. The observation group was significantly higher than that of the control group (P <0.05). Conclusions The double balloon enteroscopy in the clinical diagnosis of gastrointestinal hemorrhage can improve the detection rate of lesions and the diagnosis of etiology. The causes of gastrointestinal bleeding mainly include small intestine erosion ulcer and vascular lesions.