胶囊内镜对小肠疾病诊断和治疗的影响程度  

Effect of capsule endoscopy on the diagnosis and treatment of small intestinal disorders

作　　者：陈孝[1] 张子其[1] 邵勇[1] 张钰[1] 张建萍[1] 王亚红[1] 

机构地区：[1]中国人民解放军总医院南楼内窥镜中心,北京市100853

出　　处：《世界华人消化杂志》2007年第7期762-766,共5页World Chinese Journal of Digestology

摘　　要：目的:了解胶囊内镜的运用对小肠疾病患者诊断和治疗方案抉择的影响.方法:分析我科自2002-03/2006-08进行胶囊内镜检查的健康查体者84例,门诊或住院患者204例,比较胶囊内镜检查前后患者诊断和治疗的变化情况.结果:84例无症状查体者病变检出率为53.57%(45/84),其中需药物治疗者占48.89%(22/45),需随访监测,必要时进行其他检查或医疗干预者22.22%(10/45),不需要处理者28.89%(13/45).204例患者均接受过2种以上的消化道检查,症状持续时间平均为50mo.不明原因消化道出血的病变检出率较高,为76.47%;腹痛、腹泻和腹胀的病变检出率分别为68.49%,61.90%和66.67%.204例有症状患者在胶囊内镜检查后诊断及治疗完全变更36.76%(75/204),胶囊内镜检查对诊断和治疗变更的总有效影响率为77.94%(159/204).结论:胶囊内镜是小肠疾病诊断的理想工具,对小肠疾病患者诊断和治疗的最后确定具有重要的影响,也是小肠疾病“早期诊断”、“早期治疗”能得以实现的保障.AIM： To analyze the diagnostic yield and clinical impact of capsule endoscopy in the diagnosis and treatment of patients with suspected small intestinal diseases. METHODS： A total of 288 subjects （including 204 patients and 84 healthy individuals）, who received consecutive unselected capsule endoscopy examinations, were retrospectively analyzed. RESULTS： The detectable rate of capsule endoscopy for small intestinal diseases was 53.57% in 84 healthy individuals, of which 22 cases needed drug treatment, 10 should be followed-up or accept other check-up modality, and 13 didn＇t need any treatment. All the 204 patients received more than one kind of gastrointestinal examinations, and the symptoms lasted a mean time of 50 months. Obscure gastrointestinal bleeding was detected in 76.47% patients, and abdominal pain, chronic diarrhea, and abdominal distention were detected in 68.49%, 61.90% and 66.67%, respectively. Among 204 patients with various symptoms, the diagnosis and therapeutic strategy were entirely changed in 75 patients （36.76%） because of capsule endoscopic findings, and total influencing rate of capsule endoscopy was 77.94%. CONCLUSION： Capsule endoscopy is a proper modality in the diagnosis and treatment of suspected small intestinal diseases.

关 键 词：胶囊内镜 小肠疾病 诊断 洽疗 

分 类 号：R574[医药卫生—消化系统]