胶囊内镜在小肠出血诊断中的诊断阳性率及耐受性

Diagnostic Positive Rate and Tolerance of Capsule Endoscopy in the Diagnosis of Small Intestinal Hemorrhage

目的:探究胶囊内镜在小肠出血诊断中的应用效果。方法:随机选取2018年3月-2019年10月本院78例疑似小肠出血患者为观察对象,对其均实施胶囊内镜、双气囊小肠镜检查,以手术结果为参照,对比两种方式的诊断情况、检查时长、检查面积、耐受性评分。结果:(1)经胶囊内镜、双气囊小肠镜检查显示,分别有58、65例被诊断为小肠出血,一致性检测显示胶囊内镜、双气囊小肠镜检查的Kappa值分别为0.706、0.893。双气囊小肠镜准确率高于胶囊内镜,差异有统计学意义(P<0.05),两种方式敏感度、特异度比较差异无统计学意义(P>0.05)。(2)胶囊内镜检查时长较双气囊小肠镜更长,检查面积大于双气囊小肠镜,VAS评分低于双气囊小肠镜(P<0.05)。结论:在小肠出血诊断中应用胶囊内镜可获得较好的效果,检查面积更广,且患者耐受性更好。

Objective:To explore the application effect of capsule endoscopic in diagnosis of small intestine hemorrhage.Method:A total of 78 patients with suspected intestinal hemorrhage in our hospital from March 2018 to October 2019 were randomly selected as the observation objects.All patients underwent capsule endoscopic and double balloon enteroscopy.Taking the surgical results as reference,the diagnostic conditions,examination duration,examination area,tolerance score were compared of the two methods.Result:(1)According to capsule endoscopy and double balloon enteroscopy showed that 58,65 cases were diagnosed as small intestine hemorrhage,and consistency detection showed that the Kappa values of capsule endoscopy,double balloon enteroscopy were 0.706,0.893.The accuracy of double balloon enteroscopy was higher than that of capsule endoscopy,and the difference was statistically significant(P<0.05),and there were no significant differences in sensitivity,specificity between the two methods(P>0.05).(2)The examination duration of capsule endoscopy was longer than that of double balloon enteroscopy,the examination area was larger than that of double balloon enteroscopy,and the VAS score was lower than that of double balloon enteroscopy(P<0.05).Conclusion:Applying capsule endoscopy in small intestinal hemorrhage can achieve better results,the positive rate of diagnosis is high,and the patient is better tolerance.