胶囊内镜联合小肠CT造影在小肠疾病中的诊断价值
摘要
目的:探究分析胶囊内镜联合小肠CT造影在小肠疾病中的诊断价值。方法:选取2015年1月至2017年3月入我院检查的疑似小肠疾病患者133例作为本次研究对象,将这些患者随机分成实验组、对照A组、对照B组,其中实验组有患者45例,采用胶囊内镜联合小肠CT造影技术对患者进行检查,对照A组有患者33例,单纯采用胶囊内镜对患者进行检查,对照B组有患者44例,单纯采用小肠CT造影对患者进行检查。将三组患者的检查结果与最后诊断结果进行比较分析。结果:两种方式均具有一定的临床诊断价值,但是,实验组患者病变检出率为82.22%,病因诊断符合率为95.56%,明显优于对照A组的病变检出率59.09%、病因诊断符合率86.36%以及对照B组的病变检出率54.55%、病因诊断符合率81.82%,P<0.05,差异具有统计学意义。结论:在对疑似小肠疾病的患者进行诊断时,两种检查方式均具有良好的正确率,但两者联合诊断临床意义更大,诊断的准确率也更高,值得临床推广使用。
Objective To investigate and analyze the diagnostic value of capsule endoscopy combined with computed tomography enterography in small intestinal diseases.Methods 133 cases of patients with suspected small intestinal diseases as the research object from January 2015 to March 2017 In check to the hospital. These patients were randomly divided into experimental group, A control group, B control group, the experimental group of 45 patients were examined by capsule endoscopy combined with computed tomography enterography, A control a group of 33 patients treated by capsule endoscopy to examine patients, control group B 44 patients treated with computed tomography enterography to examine patients, the three groups of patients the examination results and final diagnosis results were compared. Results All of the two methods has some clinical diagnostic value, but the patients with lesion detection rate was 82.22%, the etiological diagnosis coincidence rate was 95.56%, significantly better than the control group A lesion detection rate of 59.09%, the etiology diagnosis coincidence rate was 86.36% and the control group B the detection rate of 54.55%, the etiology diagnosis coincidence rate was 81.8 2%, P<0.05, the difference has statistical significance. Conclusion In the diagnosis of patients with suspected small bowel diseases, two kinds of inspection methods have good accuracy, but a combination of the two diagnostic accuracy of Pro sister greater significance of diagnosis is higher, it is worthy of clinical use.
Objective To investigate and analyze the diagnostic value of capsule endoscopy combined with computed tomography enterography in small intestinal diseases.Methods 133 cases of patients with suspected small intestinal diseases as the research object from January 2015 to March 2017 In check to the hospital. These patients were randomly divided into experimental group, A control group, B control group, the experimental group of 45 patients were examined by capsule endoscopy combined with computed tomography enterography, A control a group of 33 patients treated by capsule endoscopy to examine patients, control group B 44 patients treated with computed tomography enterography to examine patients, the three groups of patients the examination results and final diagnosis results were compared. Results All of the two methods has some clinical diagnostic value, but the patients with lesion detection rate was 82.22%, the etiological diagnosis coincidence rate was 95.56%, significantly better than the control group A lesion detection rate of 59.09%, the etiology diagnosis coincidence rate was 86.36% and the control group B the detection rate of 54.55%, the etiology diagnosis coincidence rate was 81.8 2%, P<0.05, the difference has statistical significance. Conclusion In the diagnosis of patients with suspected small bowel diseases, two kinds of inspection methods have good accuracy, but a combination of the two diagnostic accuracy of Pro sister greater significance of diagnosis is higher, it is worthy of clinical use.
引文
[1]SWAIN P,TOOR A,VOLKE F,et al.Remote magnetic manipulation of a wireless capsule endoscope in theesophagus and stomach of humans(with videos)[J].Gastrointest Endosc,2013,70(7):1290-1293.
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[3]钟晓琳,万居易,邓明明,等.胶囊内镜在不明原因消化道出血诊治中的价值[J].中华消化内镜杂志,2013,30(2):109-111.
[4]王海红,金鹏,赵晓军,等.1415例胶囊内镜在消化道疾病诊断中的应用体会[J].中国内镜杂志,2015,21(2):121-126.
[5]谈涛,王寰,刘敏黎,等.胶囊内镜患者临床资料分析142例[J].中国内镜杂志,2016,22(5):84-88.
[6]窦娅芳,唐颖,解骞,等.256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值[J].CT理论与应用研究,2013,22(1):137-146.
[7]陈至操,张冠华,乔伟光,等.CT小肠成像与胶囊内镜对小肠疾病诊断的对比研究[J].中华消化内镜杂志,2015,32(3):140-144.
[8]中华医学会消化病分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2012年广州).胃肠病学,2012,17(26):763-781.
[2]KELLER J,FIBBE C,VOLKE F,et al.Inspection of the human stomach using remote-controlled capsule endoscopy:a feasibility study in healthy volunteers(with videos)[J].Gastrointest Endosc,2012,73(1):22-28.
[3]钟晓琳,万居易,邓明明,等.胶囊内镜在不明原因消化道出血诊治中的价值[J].中华消化内镜杂志,2013,30(2):109-111.
[4]王海红,金鹏,赵晓军,等.1415例胶囊内镜在消化道疾病诊断中的应用体会[J].中国内镜杂志,2015,21(2):121-126.
[5]谈涛,王寰,刘敏黎,等.胶囊内镜患者临床资料分析142例[J].中国内镜杂志,2016,22(5):84-88.
[6]窦娅芳,唐颖,解骞,等.256层多排螺旋CT小肠成像(MDCTE)对小肠疾病的诊断价值[J].CT理论与应用研究,2013,22(1):137-146.
[7]陈至操,张冠华,乔伟光,等.CT小肠成像与胶囊内镜对小肠疾病诊断的对比研究[J].中华消化内镜杂志,2015,32(3):140-144.
[8]中华医学会消化病分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2012年广州).胃肠病学,2012,17(26):763-781.