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目的探讨胶囊内镜在不明原因消化道出血的诊断价值及其安全性。方法对52例疑诊为不明原因消化道出血患者行胶囊内镜检查并总结分析。结果52例患者中，50例患者顺利完成胶囊内镜检查，检查成功率为96.2%。2例胶囊滞留，经外科手术取出。共发现小肠病变31例，阳性率59.6%。其中，可疑肿物2例、血管性出血2例、溃疡或多发黏膜糜烂14例、寄生虫6例、小肠淋巴滤泡增生3例、小肠憩室1例，新鲜出血影响视野观察3 例。结论胶囊内镜对不明原因消化道出血的检出率高，安全性好，可作为不明原因消化道出血的重要检查手段。
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更新时间：2015-03-20
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胶囊内镜对不明原因消化道出血疾病的诊断及安全性研究
Diagnostic value and clinical safety of capsule endoscopy for obscure gastrointestinal bleeding
微创医学 201406期 页码：714-716
作者机构：(广西医科大学第八附属医院暨贵港市人民医院，贵港市537100)
基金信息：作者简介：李秋琳（1979～），女，硕士，主治医师，
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ObjectiveTo evaluate the diagnostic value and clinical safety of capsule endoscopy for obscure gastrointestinal bleeding. Methods52 patients suffering from obscure gastrointestinal bleeding were examined by capsule endoscopy. ResultsAmong 52 patients, 50 completed the examination of capsule endoscopy, with the successful rate of 96.2%. Capsule retention occurred in 2 patients, which was removed by surgery. Pathological changes were detected in 31 ones, with the positive rate of 59.6%. The findings included 2 cases of suspicious lesions, 2 cases of vascular bleeding, 14 cases of ulcer and inflammation, 3 cases of lymphoid hyperplasia, 1 case of diverticulum, a nd 3 cases of active bleeding influencing visual observation. ConclusionCapsule endoscopy is safe and valuable for the diagnos of the obscure gastrointestinal bleeding.
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