透明帽辅助无痛胃镜对未充分暴露的贲门疾病诊断作用

摘要

目的 探讨透明帽辅助无痛胃镜在未充分暴露的贲门黏膜病变发现的作用价值.方法 对厦门大学附属东南医院消化内镜中心行无痛胃镜检查中贲门收缩而未充分暴露齿状线、难以观察病变的206例贲门暴露欠佳(齿状线内镜下观察少于1/3周)的患者,胃镜联合透明帽再次进镜,对贲门齿状线再次观察,针对普通胃镜和透明帽法发现疾病的阳性率的诊断价值进行探讨.结果 206例患者中,普通胃镜检查阳性患者为68例,透明帽法检查阳性患者为89例,两种方法阳性率比较差异具有统计学意义(P＜0.05).针对隐藏病变,普通胃镜和透明帽法发现的阳性病例数比较差异具有统计学意义(P＜0.05).结论 透明帽辅助胃镜检查在未充分暴露的贲门疾病检查中有重要意义.%Objective To study the value of transparent capassisted painless gastroscope in the detection of lesions in which were not fully exposed cardiac mucosal.Methods In the digestive endoscopy center of the 175th Hospital,206 patients whose cardia were contraction and not fully exposed dentate line and difficult to observe the lesions(dentate line was observed less than 1/3 weeks under endoscopy)of patients as the research object.Gastroscope combined with transparent cap was inserted to observe the cardian again,and the diagnostic value of the methods which found the positive rate of disease was discussed.Results Of the 206 patients,there were 68 cases of positive patients with normal gastroscopy,and the positive cases were positive in the painless gastroscope method.There were significant differences in the positive rates between the two methods(P＜0.05).For the hidden lesions,there was significant difference in the number of positive cases found between the normal endoscopy and the painless gastroscope method(P＜0.05).Conclusion Transparent cap assisted gastroscopy is of great value in the detection of diseases in poorly exposed cardiac.