摘要
目的探讨胶囊内镜在消化道疾病中的诊断价值及使用情况。方法选择223例消化道疾病患者，其中男性115例，女性108例：年龄12-84岁．中位年龄47岁。胶囊内镜检查前均行胃肠镜检查；口服胶囊，开启实时监控仪。观察胶囊在消化道内运行时间、排出体外时间、检查成功率及病变检出情况。结果218例患者顺利完成胶囊内镜检查，检查成功率为97．76％。胶囊在食管内运行平均时间为76．5s，在胃内运行平均时间为22．9min，在小肠内运行平均时间为352min，排出体外平均时间45．7h。5例嵌顿在体内。检查有阳性病灶132例．阳性率59．19％。包括小肠炎／小肠溃疡37例（28．03％），小肠活动性出血11例（8．33％），小肠可疑肿物12例（9．09％），小肠可疑血管瘤／静脉扩张／血管畸形5例（3．79％），小肠淋巴滤泡增生7例（5.30％），胃炎／十二指肠炎／溃疡共32例（24．24％），消化道息肉7例（5.30％），寄生虫18例（13．64％），先天性短小肠1例（0．76％），小肠狭窄1例（0．76％），小肠异物1例（0．76％）。胃镜检查结果提示，胃炎183例（82．06％），消化性溃疡15例（6．73％），寄生虫病4例（1．79％），胃潴留2例（0．90％）。肠镜检查提示，未见异常134例（60．09％），回肠末端炎或溃疡8例（3．59％），大肠息肉34例（15．25％），直肠-结肠炎13例（5．83％），小肠出血6例（2．69％），大肠出血2例（0．90％），回盲部肿物2例（0．90％），直肠肿物1例（0．45％），大肠黑变病1例（0．45％）。结论胶囊内镜检查安全有效，对消化道疾病特别是小肠疾病具有重要的诊断价值。
Objective To discuss the diagnostic value and the application condition of capsule endoscopy in digestive disease. Methods A total of 223 patients with digestive disease were enrolled, which were included 115 males and 108 females; aged 12 - 84 years old with median age of 47. All of them performed gastrointestinal endoscopy before capsule endoscopy. With oral capsules, the real-time monitoring instrument was opened. The running time in digestive tract, excreted time, success rate of inspection and detection rate of lesions by endoscopy were observed. Results In the 223 patients, 218 completed the capsule endoscopy with the success rate of 97.76 %. The average running time of capsules in esophagus, stomach and small intestine were 76.5 seconds, 22.9 minutes and 352 minutes respectively. The excreted time was 45.7 hours. The capsule endoscope retention happened in 5 cases. The 132 cases were positive lesions, and the positive rate was 59.19 %. The findings included 37 cases of intestinal inflammation or ulcer （28.03 %）, 11 of vascular bleeding（8.33 %）, 12 of suspicious lumps（9.09 %）, 5 of suspected vascular tumor or venous distention or vascular malformation（3.79 %）, 7 of lymphoid hyperplasia（5.30 %）, 32 of gastric or（and） duodenal inflammation or nicer（24.24 %）, 7 of digestive tract polyps（5.30 %）, 18 of parasites（13.64 %）, 1 of congenital short small bowel（0.76 %）, 1 of intestinal narrowing（0.76 %） and 1 of intestinal foreign body（0.76 %）. The endoscopy results showed that the findings included 183 cases of gastritis （82.06 %）, 15 of peptic ulcer（6.73 %）, 4 of parasites（1.79 %）, 2 of gastric retention（0.90 %）. The colonoscopy results showed that the findings included 134 cases were normal（60.09 %）, 8 of terminal ileitis or ulcer（3.59 %）, 34 of colorectal polyps（15.25 %）, 13 cases of proctitiscolitis（5.83 %）, 6 of vascular bleeding（2.69 %）, 2 of colonic bleeding（0.90 %）, 2 ofileocecal tumor（0.90 %）, 1 of rectal tumor （0.
出处
《生物医学工程与临床》
CAS
2014年第3期259-263,共5页
Biomedical Engineering and Clinical Medicine
关键词
胶囊内镜
消化道疾病
诊断
capsule endocopy
gastrointestinal disease
diagnosis
