摘要
目的：分析双气囊小肠镜在可疑小肠出血患者中对病因诊断和预后的影响。方法：选择我科2012年7月至2015年4月怀疑小肠出血患者共66例,随机分为双气囊小肠镜组和胶囊内镜组,对比两种检查方法的病因诊断价值和对治疗及预后的影响。结果：双气囊小肠镜的检查时间和耐受性评分显著低于胶囊内镜,P〈0.05。双气囊小肠镜的病变诊出率为93.94%（31/33）,显著高于胶囊内镜的病变诊出率60.61%（20/33）,χ~2=5.741 6,P〈0.01;双气囊小肠镜的病因诊断率为87.88%（29/33）,显著高于胶囊内镜的病因诊断率48.48%（16/33）,χ~2=6.491 7,P〈0.01。双气囊小肠镜病因诊断准确率为100%（29/29）,胶囊内镜病因诊断准确率为87.50%（14/16）,二者比较差异无统计学意义,P〉0.05。结论：双气囊小肠镜对于可疑小肠出血患者的诊断价值优于胶囊内镜,同时可行内镜下治疗,可有效改善患者预后。
Objective ： To analyze the impact of double-balloon enteroscopy for diagnostic and therapeutic value in patients with suspected small intestinal bleeding. Methods： 66 cases of small intestinal bleeding in our department from July 2012 to April 2015 were randomly divided into double-balloon enteroscopy group and capsule endoscopy group. The impact on the diagnosis, treatment and prognosis were compared in two inspection methods. Results： The double-balloon enteroscopy inspection time and tolerability scores were significantly lower than capsule endoscopy, P 〈 0.05. Diagnosis rate of lesions was 93.94% （31/33）by double-balloon enteroscopy, significantly higher than that by capsule endoscopy （60.61% （20/33））, X2 =5. 741 6, P 〈0.01; double-balloon enteroscopy etiological diagnosis rate was 87.88% （29/33）, capsule endoscopy etiological diagnosis rate was 48.48% （ 16/ 33）, X2 =6. 491 7, P 〈0.01. Double-balloon enteroscopy etiological diagnosis accuracy rate has reached 100% （29/29） ,while capsule endoscopy etiological diagnosis accuracy rate was 87. 50% （14/16）, there was no significant difference, P 〉 0.05. Conclusion： Doubleballoon enteroscopy has better diagnostic value in patients with suspected small intestinal bleeding than capsule endoscopy, while endoscopic therapy can improve patient prognosis.
出处
《现代医学》
2015年第11期1406-1409,共4页
Modern Medical Journal
关键词
双气囊小肠镜
小肠出血
胶囊内镜
病因诊断
double-balloon enteroscopy
small intestinal bleeding
capsule endoscopy
etiological diagnosis
