多层螺旋CT口服小肠造影与胶囊内镜对不明原因腹痛患者诊断价值的对比研究

Comparison of diagnostic value of multi-slice computer tomography enterography versus capsule endoscopy for unexplained abdominal pain

目的对比多层螺旋CT口服小肠造影(MSCTE)与胶囊内镜对不明原因腹痛患者的诊断价值。方法收集29例不明原因腹痛患者,其中MSCTE检查8例,胶囊内镜检查24例,同时接受两种方法检查3例。结果 MSCTE病变检出率为62.5%,胶囊内镜为75.0%,两者差别无统计学意义(P>0.05),联合两者病变检出率为100%。结论 MSCTE与胶囊内镜检查对不明原因腹痛患者具有较高的诊断价值,二者联合诊断意义更高。

Objective To compare and evaluate the diagnositic value of multi-slice computer tomography enterography（ MSCTE） versus capsule endoscopy for patients with unexplained abdominal pain. Methods twenty-nine cases of unknown abdominal pain were collected. 8 cases of 29 cases received MSCTE examination,24 cases received the capsule endoscopy and 3 cases received both of the examinations. Results The detection rate for lesions was 62. 5% by MSCTE and 75. 0% by capsule endoscopy. There was no statistical difference between the two methods（ P 〉 0. 05）. The detection rate in cases undergoing both examinations was 100%.Conclusions MSCTE and capsule endoscopy have high diagnostic value in patients with unexplained abdominal pain. The detection rate can be increased if the two methods are combined to conduct examination.