查詢結果分析
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題名 | Application of Capsule Endoscopy in Small Intestine Diseases: Analysis of 28 Cases in Kaohsiung Medical University Hospital=膠囊內視鏡於小腸疾病的應用--28位病人的分析 |
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作者 | 劉孟冠; 余方榮; 吳政毅; 吳宜珍; 王照元; 謝建勳; 王文明; 吳登強; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 22:9 民95.09 |
頁次 | 頁425-431 |
分類號 | 415.55 |
關鍵詞 | 腹痛; 膠囊內視鏡; 原因不明的消化道出血; 小腸疾病; 小腸腫瘤; Abdominal pain; Capsule endoscopy; Obscure gastrointestinal bleeding; Small intestine disease; Small intestine tumor; |
語文 | 英文(English) |
中文摘要 | 臨床上膠囊內視鏡適用於小腸疾病的診斷,許多研究顯示膠囊內視鏡在小腸未明出血處病灶的診斷率高,本篇探討於懷疑小腸病灶的病患使用膠囊內視鏡診斷率的分析。自 2004 年 10 月至 2006 年 1 月,在高醫懷疑小腸病灶之患者接受膠囊內視鏡檢查,這些病人表現症狀包括未明處之消化道出血、腹痛、腹瀉、小球性貧血、及其他接受檢查之狀況,膠囊內視鏡的結果進一步做病灶診斷率的分析及分組成消化道出血與腹痛做診斷率分析。共 28 人包括男性 12 人 (42.9%) 女性 16 人 (57.1%) 接受檢查。總共 20 人 (71.4%) 診斷有小腸病灶,8 人小腸檢查正常,就未明處之消化道出血而言,小腸診斷有病灶有 12 人 (85.7%),而確定為出血出處診斷為 5 人 (35.7%)。就腹痛病人而言,4 人發現小腸病灶,診斷率 57.1%。結論膠囊內視鏡對小腸疾病診斷價值高,由對於未明處之消化道出血及腹痛的病人。 |
英文摘要 | Capsule endoscopy (CE) is used to diagnose small intestine disease. Many studies have shown a better lesion detection rate in obscure gastrointestinal (GI) bleeding than with other surveyed techniques. Our study investigates the diagnostic value of CE in patients with suspicious small intestine diseases. Between October 2004 and January 2006, patients who had suspected small intestine disease underwent CE in Kaohsiung Medical University Hospital. Presenting symptoms included obscure GI bleeding, abdominal pain, diarrhea, microcytic anemia, and other indications. CE results were analyzed as a proportion of total lesion detection rate and also with regard to obscure GI bleeding and abdominal pain for analysis. A total of 28 patients, including 12 males and 16 females, were enrolled for CE examination. Overall, small intestine lesions were detected in 20 cases (71.4%), with negative findings in eight cases. For obscure GI bleeding, the total lesion detection rate was 85.7% (12 of 14 patients) but the diagnostic rate was only 35.7% (five of 14 cases). In patients with abdominal pain, four of seven (57.1%) had small intestine lesions. In conclusion, CE survey has a good lesion detection rate for small intestine disease, especially for patients with obscure GI bleeding, and is helpful in the diagnosis of unexplained abdominal pain. |
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