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目的评价胶囊内镜在消化道出血患者中的诊断价值。方法对53例不明原因消化道出血患者、22例因心肺脑功能不全无法耐受常规胃肠镜检查的消化道出血患者,采用M2A胶囊内镜进行胃肠道检查。结果75例中有74例(98.6%)完成检查,发现消化道病变64例,检出率86.5%,包括胃部病变4例,小肠病变58例,结肠病变2例;41例(55.4%)检出出血病因。22例在胶囊内镜检查后,采用双气囊小肠镜对胶囊内镜检查结果予以验证,发现18例的病因诊断和定位相符。结论胶囊内镜对消化道出血,尤其是小肠源性出血具有较高的诊断价值。
Objective To evaluate the diagnostic value of capsule endoscopy in patients with gastrointestinal bleeding. Methods Fifty-three patients with gastrointestinal bleeding of unknown cause and 22 patients with gastrointestinal bleeding who could not tolerate routine gastrointestinal endoscopy due to cardiopulmonary dysfunction were examined with gastrointestinal tract by M2A capsule endoscopy. Results Of the 75 cases, 74 cases (98.6%) completed the examination and found that there were 64 cases of digestive tract diseases with the detection rate of 86.5% including 4 cases of stomach lesion, 58 cases of small intestine lesion and 2 cases of colon lesion; 41 cases (55.4% Detected the cause of bleeding. 22 cases of capsule endoscopy, the use of double balloon enteroscopy on capsule endoscopy to verify the results found 18 cases of etiology diagnosis and positioning. Conclusion Capsule endoscopy has high diagnostic value for gastrointestinal bleeding, especially for small intestinal origin.