摘要
目的比较双气囊内镜与胶囊内镜检查对小肠疾病诊断的价值。方法将2016年7月—2017年7月在我院影像科检查小肠疾病的92例患者随机分为两组,对照组采用双气囊内镜(DBE)检查,观察组采用胶囊内镜(CE)检查,比较两种方法的病变检出率、检查时间、依从性及不良反应。结果观察组小肠病变的诊断率为63.04%,高于对照组诊断率36.96%,差异有统计学意义(P<0.05);观察组检查时间明显长于对照组(P<0.05),两组放弃检查或检查失败率无明显差异(P>0.05),两组均未发生消化道出血、穿孔、继发感染、胶囊嵌顿、肠系膜撕裂、急性胰腺炎等严重并发症,对照组轻微腹痛、腹胀、恶心呕吐等不良反应发生率明显高于观察组(P<0.05)。结论胶囊内镜的总体检出率更高,且患者耐受性更好,是临床首选的检查方式,而双气囊内镜对于胶囊内镜检查是一种补充检查手段,能够提高胶囊检查阴性患者的检出率。
Objective To investigate the double balloon endoscopy and capsule endoscopy in the diagnosis of small bowel disease. Methods From July 2016 to July 2017, 92 patients with intestinal diseases underwent imaging in our hospital were randomly divided into two groups. The control group was treated with double balloon endoscopy （DBE）. The observation group was treated with capsule endoscopy （CE ） check, the two methods of detection of lesions, check the time, compliance and adverse reactions were compared. Results The diagnostic rate of small intestine lesions in observation group was 63.04%, which was higher than that in control group （36.96%）, the difference was statistically signifcant （P 〈 0.05）; the observation time in observation group was significantly longer than that in control group （P 〈 0.05） There was no signifcant difference in abandon or check the failure rate between the two groups （P 〉 0.05）. No serious complications such as gastrointestinal bleeding, perforation, secondary infection, capsule incarceration, mesenteric tear, acute pancreatitis, Abdominal distension, nausea and vomiting and other adverse reactions in the control group were signifcantly higher than the observation group （P 〈 0.05）. Conclusion The overall detection rate of capsule endoscopy is higher and the patients are better tolerated, which is the first choice of clinical examination. However, double balloon endoscopy is a supplementary examination for capsule endoscopy and can improve the negative result of capsule examination Patient detection rate.
出处
《中国卫生标准管理》
2017年第28期147-149,共3页
China Health Standard Management
