目的探討黑便對(duì)顯性潛在小腸出血患者小腸鏡檢查進(jìn)鏡路徑選擇的指導(dǎo)意義。方法回顧性分析空軍特色醫(yī)學(xué)中心2003.10-2019.11期間經(jīng)氣囊輔助內(nèi)鏡診治的顯性潛在小腸出血患者,分為黑便（A組）、血便（B組）兩組,對(duì)兩組患者臨床特點(diǎn),不同進(jìn)鏡途徑疾病檢出率進(jìn)行比較,分析黑便患者與小腸鏡不同進(jìn)鏡途徑病變檢出陽(yáng)性率之間的相關(guān)性。結(jié)果208例患者符合納入標(biāo)準(zhǔn),111例黑便患者（A組）經(jīng)口小腸鏡檢查的病變陽(yáng)性檢出率為67.57%（75/111）,明顯高于經(jīng)肛檢查的病變陽(yáng)性檢出率12.6%（14/111）;另外也明顯高于97例血便患者（B組）經(jīng)口小腸鏡陽(yáng)性檢出率25.77%（25/97）,差異具有統(tǒng)計(jì)學(xué)意義（P <0.05）。結(jié)論臨床除外屈氏韌帶以上消化道出血的黑便患者,病情允許的情況下可首選經(jīng)口小腸鏡檢查,可以提高病變檢出率,減輕了患者的經(jīng)濟(jì)負(fù)擔(dān)。 

【文章來(lái)源】：現(xiàn)代消化及介入診療. 2020,25(09)

【文章頁(yè)數(shù)】：4 頁(yè)

【文章目錄】：
1 資料與方法
    1.1 患者一般情況與入組標(biāo)準(zhǔn)
    1.2 器械與方法
    1.3 統(tǒng)計(jì)學(xué)處理
2 結(jié)果分析
    2.1 患者一般情況統(tǒng)計(jì)
    2.2 不同糞便顏色進(jìn)鏡途徑選擇的病變檢出率
    2.3 病變檢出情況
3 討論


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碩士論文
[1]不明原因胃腸道出血[D]. ABDI-SAMAD ABDI ALI.山東大學(xué) 2019



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