胶囊内镜联合仿真内窥镜在不明原因消化道出血中的应用
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摘要
目的探讨胶囊内镜(capsule endoscopy,CE)联合仿真内窥镜(CT virtual endoscopy,CTVE)在不明原因消化道出血(obscure gastrointestinal bleeding OGIB)中的应用价值。方法对21例因不明原因消化道出血的患者同时行CE及CTVE检查分析两者联合在不明原因消化道出血的应用价值。结果共有19例患者发现了病变,其中小肠间质瘤7例,炎症3例,肉芽肿1例,小肠血管畸形1例,转移瘤1例,小肠憩室2例,肠管畸形1例,Dieulafoy溃疡1例,结肠癌1例,钩虫病1例;两者吻合率81.0%。结论 CE联合CTVE在不明原因消化道出血中有较高的应用价值。
Objective To explore the value of application capsule endoscopy(capsule endoscopy,CE) combined with CT virtual endoscopy(CT virtual endoscopy,CTVE.) in the obscure gastrointestinal bleeding(OGIB).Methods Totally 21 patients with OGIB had been examinationed with CE and CTVE,to analyze the value of the two methods in OGIB.Results The lession has been found in 19 cases,including seven cases of small intestinal stromal tumors,three cases of inflammation,one case of granuloma,one case of small intestine,one case of vascular malformations,one case of metastases,two cases of small bowel diverticula,one case of bowel malformation,one case of Dieulafoy ulcer,one case of colon,one case of hookworm.The matching rate of the two methods is 81.0%.Conclusion CE combined with CTVE have high value of application in the diagnosis of the obscure gastrointestinal bleeding.
Objective To explore the value of application capsule endoscopy(capsule endoscopy,CE) combined with CT virtual endoscopy(CT virtual endoscopy,CTVE.) in the obscure gastrointestinal bleeding(OGIB).Methods Totally 21 patients with OGIB had been examinationed with CE and CTVE,to analyze the value of the two methods in OGIB.Results The lession has been found in 19 cases,including seven cases of small intestinal stromal tumors,three cases of inflammation,one case of granuloma,one case of small intestine,one case of vascular malformations,one case of metastases,two cases of small bowel diverticula,one case of bowel malformation,one case of Dieulafoy ulcer,one case of colon,one case of hookworm.The matching rate of the two methods is 81.0%.Conclusion CE combined with CTVE have high value of application in the diagnosis of the obscure gastrointestinal bleeding.
引文
[1]Liao Z,Gao R,Xu C,et al.Indications and detection,completionand retention rates of small-bowel capsule endoscopy:a system-atic review[J].Gastrointest Endosc,2010,71(2):280-286.
[2]Carretero C,Fernandez-Urien I,Betes M,et al.Role of Videocapsule endoscopy for Gastrointestinal bleeding[J].World J Gas-traenterol,2008,14(34):5261-5264.
[3]Liao Z,Gao R,Xu C,et al.Indications and detection,comple-tion,and retention rates of small-bowel capsule endoscopy:asystematic review[J].Gastrointest Endosc,2010,71(2):280-286.
[4]中华消化杂志编委会.不明原因消化道出血诊断流程(2012年3月上海)[J].胃肠病学,2012,17(7):426-429.
[5]Bing-Ling Zhang,Ling-Ling Zhang.Diagnosis of obscure gas-trointestinal hemorrhage with capsule endoscopy in combinationwith multiple-detector computed tomography Gastroenterologyand Hepatology[J],2010,(25):75-79.
[2]Carretero C,Fernandez-Urien I,Betes M,et al.Role of Videocapsule endoscopy for Gastrointestinal bleeding[J].World J Gas-traenterol,2008,14(34):5261-5264.
[3]Liao Z,Gao R,Xu C,et al.Indications and detection,comple-tion,and retention rates of small-bowel capsule endoscopy:asystematic review[J].Gastrointest Endosc,2010,71(2):280-286.
[4]中华消化杂志编委会.不明原因消化道出血诊断流程(2012年3月上海)[J].胃肠病学,2012,17(7):426-429.
[5]Bing-Ling Zhang,Ling-Ling Zhang.Diagnosis of obscure gas-trointestinal hemorrhage with capsule endoscopy in combinationwith multiple-detector computed tomography Gastroenterologyand Hepatology[J],2010,(25):75-79.