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胶囊内镜诊断慢性腹痛的临床应用价值 被引量:1

Clinical Application of Capsule Endoscopy in the Diagnosis of Chronic Abdominal Pain
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摘要 目的:探讨胶囊内镜诊断慢性腹痛的临床应用价值。方法:回顾性分析2015年1月~2016年1月在某院接受胶囊内镜检查的慢性腹痛30例、无消化道症状体检20例的临床资料。结果:两组检查中均无任何不适和并发症发生,所有胶囊均正常工作;5d内排出胶囊1例,其余均在3d内排出;两组患者的胃排空时间与小肠转运时间相比差异无统计学意义(P>0.05)。慢性腹痛组小肠病变的发生率为40%(12/30),无消化道症状体检组小肠病变的发生率为15%(3/20),两组的小肠病变发生率相比差异具有统计学意义(P<0.01)。结论:在慢性腹痛诊断治疗中胶囊内镜具有较高的应用价值,尤其是对于一些功能性胃肠病治疗成效性不高或者不知发病原因的患者来说采取该方法进行治疗,可在短时间内找出病症的主导因素。 Objective:To explore the clinical value of capsule endoscopy in the diagnosis of chronic abdominal pain.Methods:The clinical data of 30 cases of chronic abdominal pain with capsule endoscopy and 20 cases with no gastrointestinal symptoms from January 2015 to January 2016 were retrospectively analyzed.Results:There were not any discomfort and complications occurred in the two groups and all the capsules were working properly.Only 1 case discharged within 5d,the rest discharged within 3d.There was no significant difference in gastric emptying time and small intestine transit time between the two groups(P〉0.05).The incidence of small intestine lesions in chronic abdominal pain group was 40% (12/30).The incidence of small intestine lesions in patients without gastrointestinal symptoms was 15% (3/20).There was statistically significant difference in incidence of small intestine lesions in the two groups(P〈0.01).Conclusion:Capsule endoscopy has a high application value in the diagnosis and treatment of chronic abdominal pain,especially for some patients with functional gastrointestinal disease.The treatment effect is not high or the patients with unknown pathogenesis are treated by this method.It needs time to find the leading factor in the disease.
出处 《数理医药学杂志》 2017年第10期1469-1470,共2页 Journal of Mathematical Medicine
关键词 胶囊内镜 慢性腹痛 价值 capsule endoscopy chronic abdominal pain value
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