胶囊内镜对儿童小肠疾病诊断价值研究  

Value of wireless capsule endoscopy in diagnosis of small bowel disease in children

作　　者：何金水[1] 黄文宝[2] 许向农[2] 刘友隆[1] 

机构地区：[1]福建医科大学附属漳州市医院儿科,福建漳州363000 [2]福建医科大学附属漳州市医院消化内科,福建漳州363000

出　　处：《中国实用儿科杂志》2011年第9期679-681,共3页Chinese Journal of Practical Pediatrics

摘　　要：目的评价胶囊内镜检查在儿科应用的有效性和安全性。方法对2007年9月至2010年12月福建医科大学附属漳州市医院28例临床疑诊小肠疾病的患儿进行胶囊内镜检查。观察胶囊内镜通过胃的平均时间、通过小肠的平均时间、成功率和失败率、小肠病变检出率及患儿的耐受性和并发症。结果 28例患儿均成功吞服胶囊内镜并完整排出,检查过程患儿耐受良好。胶囊内镜通过胃的时间20～280min(中位数64min),通过小肠的时间93～380min(中位数255min),检出病变20例(20/28,71.43%)。结论对疑诊小肠疾病,胶囊内镜检查是的一种有效和安全的方法。Objective To evaluate the safety and effectiveness of capsule endoscopy in children with suspicious smallbowel diseases. Methods Twenty-eight children with suspicious small bowel disorders were referred to our study fi＇om Sep. 2007 to Dec. 2010 in Zhangzhou Municipal Hospital Affiliated to Fujian Medical University. The average time of capsule passing through the stomach and the small intestine, the tolerance to and complication of capsule endoscopy in patients, the success rate and the diagnostic accordance rate were observed and recorded. Results All the patients could easily swallow the capsule and had good tolerance, and no capsule retention occurred during the study.The median time of capsule passing through the stomach and small intestine was 64 rain （ranging from 20 to 280 min） and 255 min （ranging from 93 to 380 min）, respectively. The detective yield of capsule endoscopy was 71.43%（20/28）. Conclusion Capsule endoscopy is a safe and useful tool in diagnosis of small bowel diseases in pediatrics.

关 键 词：胶囊内镜 小肠疾病 儿童 

分 类 号：R72[医药卫生—儿科]