摘要
目的探讨胶囊内镜(CE)检查对不明原因消化道出血(OGIB)的诊断价值。方法抽取2014年1月至2018年12月晋煤集团总医院收治的60例OGIB患者,根据检查距出血停止时间将其分为A组(28例)与B组(32例)。A组在出血停止3 d内接受CE检查;B组在出血停止3 d后接受CE检查所有患者均进行CE检查。结果本组60例患者CE总阳性率为90%,其中血管畸形、多发溃疡或糜烂占比高于其他类型(P<0.05);A组检查阳性率为100%,B组检查阳性率为81.25%,差异有统计学意义(P<0.05);A组患者住院时间短于B组(P<0.05)。结论CE诊断OGIB阳性率较高,且检查时间越早,其诊断效果越好,可为临床治疗提供指导,降低输血量,缩短住院时间。
Objective To investigute the diagnostic value of capsule endoscopy (CE) for unexplained gastrointestinal bleeding (OGIB).Methods Sixty patients with OGIB in General Hospital of Jinmei Group from January 2014 to February 2018 were divided into group A (n=28) and group B (n=32) according to bleeding stop time. The patients in group A underwent CE examination within 3 day stoping bleeding, while the patients in group B 3 d after stoping bleeding.Results The total positive rate of CE in 60 patients was 90%. The proportion of vascular malformation, multiple ulcers or erosion were higher than other types (P<0.05). The positive detection rate of group A was 100%, the posttive detection of group B rate was 81.25%, the difference was significant (P<0.05);the average hospital stay in group A was shorter than that in group B (P<0.05).Conclusions The positive rate of OGIB diagnosis in CE is higher, and performing examination earlier, can get better diagnosis effect, which can provide guidance for clinical treatment, reduce blood transfusion and shorten hospitalization time.
作者
李继勇
Li Jiyong(Department of Gastroenterology,General Hospital of Jinmei Group,Jincheng 048006,China)
出处
《中国实用医刊》
2020年第4期69-71,共3页
Chinese Journal of Practical Medicine
关键词
消化道出血
胶囊内镜
血管畸形
Gastrointestinal bleeding
Capsule endoscopy
Vascular malformation
作者简介
通信作者:李继勇,Email:lunanrenbjwv@163.com。
