国产OMOM胶囊内镜对不明原因小肠出血性疾病的诊断价值

目的探讨胶囊内镜对小肠不明原因出血性疾病的诊断价值。方法采用胶囊内镜对46例不明原因小肠出血患者进行检查，并对结果进行分析。结果胶囊内镜顺利通过小肠45例，滞留于小肠内1例（经手术证实为小肠肿瘤）。38例明确出血原因（诊断率82．6％），其中血管畸形15例、小肠肿瘤4例、克罗恩病3例、小肠血管瘤5例，憩室1例、息肉1例、小肠溃疡9例。结论胶囊内镜对诊断小肠出血性疾病有较高的诊断价值。

Objective To study the value of capsule endoscopy in the diagnosis of obscure small intestine bleeding. Method 46 patients with obscure bleeding of the small intestine were examined by capsule endoscopy, and the results were analyzed. Results The capsule endoscopies of 45 patients passed small intestine successfully, one case of the patient＇ s capsule endoscopy remained in the small intestine, who was confirmed with small intestine tumor by surgery later. The bleeding reasons in 38 patients were made clear including 15 cases with vascular malformations, 4 cases with small intestinal tumors, 3 cases with Crohn＇ s diseases, 5 cases with hemangiomas of small intestine, 1 case with diverticulum, 1 case with polypus, 9 cases with ulcers of small intestine, respectively. The rate of diagnosis was 82. 6%. Conclusions Capsule endoseopies have a preferable diagnostic value in the diagnosis of obscure bleeding diseases of the small intestine.