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目的比较双气囊小肠镜与胶囊内镜对不明原因消化道出血检出率、诊断率和实用价值。方法对2006年10月至2007年10月第三军医大学新桥医院收治的不明原因消化道出血73例患者行双气囊小肠镜检查,经口腔或肛门进镜检查未发现病灶者,改换进镜方式再行检查。另66例行胶囊内镜检查。对比两种检查方式的临床效果。结果双气囊小肠镜组检出率为94.5%,诊断率为80.8%;胶囊内镜组检出率81.8%、诊断率为50.0%。两组患者均能耐受检查。结论双气囊小肠镜组的检出率及诊断率均显著高于胶囊内镜组。而胶囊内镜检查更为简便易行。
Objective To compare the detection rate, diagnostic rate and practical value of double-balloon enteroscopy and capsule endoscopy in the diagnosis of unexplained gastrointestinal bleeding. Methods From October 2006 to October 2007, 73 patients with unidentified gastrointestinal bleeding admitted to Xinqiao Hospital of the Third Military Medical University underwent double balloon enteroscopy. No lesions were found in the oral cavity or anus in the mirror, Way to check again. Another 66 cases of capsule endoscopy. Compare the clinical effects of the two test methods. Results The detection rate of double balloon enteroscopy was 94.5% and the diagnostic rate was 80.8%. The detection rate of capsule endoscopy was 81.8% and the diagnostic rate was 50.0%. Both groups were able to tolerate the test. Conclusions The detection rate and diagnosis rate of double balloon enteroscopy are significantly higher than those of capsule endoscopy. The capsule endoscopy is more simple and easy.