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肠镜检查确诊不明原因消化道出血的方法和临床意义

Method and Clinical Significance of Enteroscopy in Diagnosis of Obscure Gastrointestinal Bleeding
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摘要 目的观察分析肠镜检查确诊不明原因的消化道出血的方法以及临床意义。方法以2015年5月—2017年5月本院收治的76例消化道出血患者为研究对象,依据信封法分组,对照组采取常规双气囊小肠镜进行检查,观察组则使用胶囊内镜检查,各38例。对比两组诊断吻合率和检查舒适度。结果观察组检查结果与病理诊断结果吻合率为92.1%,与对照组比较无明显差异(P>0.05)。对比两组患者的检查舒适度则提示观察组高(P<0.05)。结论对不明原因消化道出血患者实施肠镜检查可得到满意效果,尤以胶囊内镜检查效果为佳,临床值得推广。 Objective To observe and analyze the method and clinical significance of enteroscopy in the diagnosis of obscure gastrointestinal bleeding. Methods From May 2015 to May 2017,76 cases of patients with gastrointestinal bleeding were selected as the research object based on the packet envelope method,the control group adopted conventional double balloon enteroscopy examination,while the observation group using capsule endoscopy,with 38 cases in each. The diagnosis coincidence rate and comfort degree were compared between groups. Results The coincidence rate of the results of the observation group and the pathological diagnosis was 92.1%,and there was no significant difference between the observation group and the control group(P>0.05). The comfort degree of the two groups was higher than that of the observation group(P<0.05). ConclusionColonoscopy can be used in patients with obscure gastrointestinal bleeding,especially in capsule endoscopy,and it is worthy of clinical promotion.
作者 张峡静
出处 《大医生》 2017年第6期40-41,共2页 Doctor
关键词 肠镜 不明原因消化道出血 临床价值 colonoscopy obscure gastrointestinal bleeding clinical value
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