胶囊内镜对小肠疾病诊断价值的初步研究  

Capsule endoscopy in diagnosis of small bowel diseases

作　　者：李强[1] 金道友[1] 韩真[1] 

机构地区：[1]皖南医学院附属弋矶山医院消化内科,安徽芜湖241001

出　　处：《皖南医学院学报》2008年第3期186-188,共3页Journal of Wannan Medical College

摘　　要：目的：探讨胶囊内镜在小肠疾病特别是不明原因消化道出血诊断中的应用价值。方法：分析2006年8月-2007年10月,我院消化内科对24例怀疑小肠疾病患者（其中不明原因消化道出血者21例）,行OMOM胶囊内镜检查的临床资料。结果：24例受检者中,小肠息肉7例,小肠新生物2例,小肠血管畸形1例,小肠克罗恩病1例,小肠炎症2例,小肠钩虫病2例,阴性9例,病变检出率为62.5%,其中部分病例经手术病理证实。整个操作过程患者耐受性佳,无任何并发症,检查成功率100%。结论：胶囊内镜检查操作简单、安全、无创伤,尤其适用于年老体弱、合并其他慢性疾病或不能耐受有创性检查的患者。对小肠疾病尤其是不明原因消化道出血具有较高的诊断价值,可以作为小肠出血或经胃镜、结肠镜检查阴性患者的首选检查方法。Objective：To evaluate the application of capsule endoscopy in small bowel diseases,especially in obscure gastrointestinal bleeding.Methods： OMOM capsule endoscopy was performed in 24 patients with small bowel diseases（including 21 of obscure gastrointestinal bleeding） from Aug.2006 to Oct.2007.All clinical data were collected for this study.Results： In 24 patients,7 were found with polyp,2 with neoformation,1 with vascular malformation and another 1 with Crohn′s disease,2 with enteritis and another 2 with ancylostostomiasis of small intestinal.9 cases showed positive.The overall detection was 62.5%.Some cases were confirmed by operation and pathology.All patients stated that the capsules were easy to swallow,no complications were observed and all examination went smoothly.Conclusion： Capsule endoscopy has the advantages of simple operation, higher safety and freedom of injury.It is especially favorable to the elderly or those with chronic disease,who are imappropriate to undergo the routine endoscopy and it can be recommended as the primary diagnosis in the small bowel diseases,especially in the obscure gastrointestinal bleeding.

关 键 词：胶囊内镜 小肠疾病 不明原因消化道出血 诊断 

分 类 号：R574.5[医药卫生—消化系统]