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目的探讨胶囊内镜在不明原因消化道出血中的诊断价值、耐受性、并发症。方法对62例不明原因消化道出血患者行OMOM胶囊内镜检查。结果 45例胶囊内镜下发现异常,36例明确为出血病灶。包括克罗恩病15例,间质瘤5例,晚期肿瘤3例,新鲜出血10例,血管瘤3例,62例受检者均耐受良好,6例出现胶囊滞留。结论胶囊内镜对不明原因消化道出血有较高的诊断率,易耐受,胶囊滞留是其主要并发症,易发生于克罗恩病患者。
Objective To investigate the diagnostic value, tolerance and complications of capsule endoscopy in gastrointestinal bleeding of unknown causes. Methods 62 patients with unexplained gastrointestinal bleeding OMOM capsule endoscopy. Results 45 cases of capsule endoscopic abnormalities, 36 cases of clear hemorrhage lesions. Including Crohn’s disease in 15 cases, stromal tumors in 5 cases, 3 cases of advanced tumors, 10 cases of fresh hemorrhage, 3 cases of hemangiomas, 62 subjects were well tolerated, 6 cases of capsule retention. Conclusion Capsule endoscopy for the diagnosis of unexplained gastrointestinal bleeding have a higher diagnostic yield, easy tolerance, capsule retention is the main complication, prone to Crohn’s disease patients.