胶囊内镜在慢性腹痛临床诊断中的应用价值  

Value of capsule endoscopy as a diagnostic tool in chronic abdominal pain

作　　者：张瑜[1] 金建军[1] 赵双琴[1] 张世同[1] 张英剑[1] 白艳丽[1] 郑玉峰[1] 

机构地区：[1]河南科技大学第一附属医院,471003

出　　处：《中国医学创新》2011年第5期4-6,共3页Medical Innovation of China

摘　　要：目的探讨胶囊内镜在慢性腹痛患者中的临床应用价值。方法选择行胶囊内镜检查的不明原因慢性腹痛患者43例及无症状体检者25例,对其诊断结果进行统计学分析。结果 (1)腹痛组与体检组胶囊胃运行时间分别为(43.1±11.3)min和(41.7±10.9)min,小肠运行时间分别为(224.8±60.2)min和(220.5±53.9)min,两组比较差异均无统计学意义(P>0.05)。(2)在慢性腹痛组发现小肠非特异性炎症13例,小肠息肉3例,小肠血管畸形2例,小肠单发小溃疡2例,小肠克罗恩病1例,小肠钩虫病1例,小肠淋巴瘤1例。无症状体检组发现小肠非特异性炎症3例,小肠息肉1例,血管畸形1例,单发溃疡1例。腹痛组小肠疾病的检出率(53.5%)明显高于健康体检组(24%),差异有统计学意义(P<0.05)。(3)在胃、结肠病变的检出中腹痛组检出率39.5%,体检组检出率52%,差异无统计学意义(P>0.05)。结论胶囊内镜在慢性腹痛尤其是小肠疾病的临床诊断中具有良好的应用价值。Objective The aim of the study is to evaluate value of capsule endoscopy as a diagnostic tool in chronic abdominal pain. Methods 43 patients with chronic abdominal pain and 25 patients with medical check - up were examined. Diagnoses by capsule endoscopy were recorded and compared statistically. Results （ 1 ） Comparing the tow groups, the capsule transit time in stomach is （43. 1 ± 11.3 ） min and （41.7 ± 10.9 ） min, the time in the small intestine is （224. 8 ± 60. 2） min and （220.5 ± 53.9 ） min, no significant difference existed （ P 〉 0. 05 ）. （ 2 ） In the abdominal pain group, the finding included 13 cases of non -specific inflammation of the small intestine, 3 cases of small intestinal polyp, 2 cases of sma｜l intestinal angiodysplasia, 2 cases of small intestinal ulcers, 1 cases of Crohn＇s disease, 1 case of intestinal hookworm disease, 1 case of small intestinal lymphoma. The findings in asymptomatic control group included 3 cases of non - specific inflammation of the small intestine, 1 case of small intestinal polyp, 1 case of small intestinal angiodysplasia, 1 case of small intestinal ulcers. Comparing the 2 groups, prevalence in chronic abdominal pain group was significantly higher than in asym- potomatic control（P 〈 0. 05 ）. （3）The prevalences of stomach and colon were no significant differences between chronic abdominal pain group and asympotomatie control （ P 〉 0. 05 ）. Conclusion Capsule endoscopy is a valuable tool in diagnosing chronic abdominal pain, especially in small intestinal diseases.

关 键 词：慢性腹痛 胶囊内镜 

分 类 号：R574[医药卫生—消化系统]