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双气囊内镜与胶囊内镜对小肠疾病诊断比较
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作者 王威 《中国卫生标准管理》 2017年第28期147-149,共3页
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... 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。 展开更多
关键词 小肠疾病 双气囊内镜(DBE) 胶囊内镜(ce) 诊断价值
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Diagnostic yield of small bowel capsule endoscopy depends on the small bowel transit time 被引量:10
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作者 Jessie Westerhof Jan J Koornstra +3 位作者 Reinier A Hoedemaker Wim J Sluiter Jan H Kleibeuker Rinse K Weersma 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第13期1502-1507,共6页
AIM: To investigate whether the small bowel transit time (SBTT) influences the diagnostic yield of capsule endoscopy (CE). METHODS: Six hundred and ninety-one consecutive CE procedures collected in a database we... AIM: To investigate whether the small bowel transit time (SBTT) influences the diagnostic yield of capsule endoscopy (CE). METHODS: Six hundred and ninety-one consecutive CE procedures collected in a database were analyzed. SBTT and CE findings were recorded. A running mean for the SBl-I- was calculated and correlated to the diagnostic yield with a Spearman's correlation test. Subgroup anal- yses were performed for the various indications for the procedure. RESULTS: There was a positive correlation between the diagnostic yield and SBT1- (Spearman's rho 0.58, P 〈 0.01). Positive correlations between diagnostic yield and SB-FI-were found for the indication obscure gastro- intestinal bleeding (r = 0.54, P 〈 0.01), for polyposis and carcinoid combined (r = 0.56, P 〈 0.01) and for the other indications (r = 0.90, P 〈0.01), but not for suspected Crohn's disease (r = -0.40) CONCLUSION: The diagnostic yield in small bowel capsule endoscopy is positively correlated with the small bowel transit time. This is true for all indications except for suspected Crohn's disease. 展开更多
关键词 Capsule endoscopy Small bowel transit time Diagnostic yield
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