胶囊内镜在肠易激综合征诊断中应用价值的研究  

The Study of Value of Capsule Endoscopy in the Diagnosis of Irritable Bowel Syndrome

作　　者：周涛[1] 顾晓萌[1] 李延青[1] 赵幼安[1] 

机构地区：[1]山东大学齐鲁医院消化科,济南250012

出　　处：《中国消化内镜》2007年第5期21-23,共3页Digestive Disease and Endoscopy

摘　　要：目的探讨M2A胶囊内镜在肠易激综合征诊断中的应用价值。方法对56例既往诊断为肠易激综合征的患者进行胶囊内镜检查,所有病例均符合罗马Ⅲ标准。其中腹泻型13例,便秘型22例,混合型21例。结果56例患者中,93%(52例)患者获得可识别盲肠的完整的小肠图像。5%(3例)患者有阳性结果。检出病变有克罗恩病(1例)、淋巴瘤(1例),间质瘤(1例)。结论尽管临床上不推荐胶囊内镜作为一线检查方法,但胶囊内镜对肠易激综合征具有重要的辅助诊断价值,特别对常规内镜检查与影像学检查阴性的患者,是一种重要的非侵入性鉴别诊断手段。Objective： To explore the use value of capsule endoscopy in the diagnosis of irritable bowel syndrome （ IBS ）. Methods： Capsule endoscopy was used in 56 patients with IBS diagnosed by Rome Ⅲ criteria. Results： In 56 patients, complete small bowel visulation with identification of the cecum was achieved in 93% （52 patients）, yield of positive findings was 5% （3 pafients）,Diagnoses included Crohn＇s disease （1 patient）, lymphoma （1 patient） ,interstifiztloma （1 pafient）. Conclusion： Although capsule endoscopy cannot be recommended as first-line test, it plays an important role in auxiliary diagnosis of IBS, especially it facilitated diagnosis in patients with negative endoscopic and radiologic examination.

关 键 词：胶囊内镜 肠易激综合征 

分 类 号：R57[医药卫生—消化系统]