磁控胶囊内镜在胃及小肠疾病诊断中的价值

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1、授予单位代码10089学号或申请号20153169中国图书分类号R573HebeiMedicalUniversity硕士学位论文专业学位磁控胶囊内镜在胃及小肠疾病诊断中的价值研究生：王帅导师：杨川杰教授专业：内科学二级学院：河北医科大学第二医院2018年3月目目目录录录录中文摘要··········································································································1英文摘要··

2、········································································································2英文缩写········································································································4研究论文磁控胶囊内镜在胃及小肠疾病诊断中的价值前言··············

3、····························································································5材料与方法······························································································6结果··························································

4、··············································16附图········································································································21附表·······························································································

5、·········28讨论········································································································32结论········································································································34参考文献······················

6、··········································································35综述磁控胶囊内镜的应用与前景展望······················································38致谢·······································································································

7、·········47个人简历········································································································48中文摘要磁控胶囊内镜在胃及小肠疾病诊断中的价值摘要目的：以传统内镜（食管胃十二指肠镜、结肠镜）作为对照组，研究磁控胶囊内镜对食管、胃、小肠疾病诊断的准确性、敏感性及影响检查结果的相关因素，初步探讨其诊断大肠疾病的可行性，评估磁控胶囊内镜对胃肠疾病的诊断价值，为其临

8、床应用推广提供理论依据。方法：本研究纳入自2015年8月至2018年2月来我院就诊患者97例，分别行磁控胶囊内镜及传统内镜检查。采用随机对照研究，评估上述方法对胃肠病变的检出率、敏感度、特异度、阳性预测值、阴性预测值及一致性分析（Kappa值），记录并分析患者的胃、肠道准备情况，胶囊通过时间，胶囊排出时间，患者接受度及相关并发症。结果：1.MCE诊断胃部局灶性病变，以胃息肉敏感度最高，胃溃疡次之，与胃镜有较好的一致性，而其他胃内局灶性病变比率较低，易漏诊