胶囊内镜对小肠肿瘤的诊断评估(一项21例的单中心回顾性研究)  

Capsule endoscopy for diagnosis of small bowel tumors:a single-center experience with 21 consecutive patients

作　　者：薄陆敏[1] 杨俊驰[2] 廖专[1] 吴莉 符宏宇[1] 杜奕奇[1] 李兆申[1] 

机构地区：[1]第二军医大学长海医院消化内科 [2]第二军医大学长海医院普通外科 [3]解放军69240部队医院内科

出　　处：《第二军医大学学报》2013年第9期1012-1015,共4页Academic Journal of Second Military Medical University

基　　金：教育部高等学校全国优秀博士学位论文作者专项基金(201271);上海市人才发展基金;第二军医大学优秀青年学者基金~~

摘　　要：目的探讨胶囊内镜在诊断小肠肿瘤中的作用及对其治疗的价值。方法收集2006年10月至2011年12月因疑似小肠疾病而行胶囊内镜检查者共773例,对其中疑诊小肠肿瘤者作进一步检查,根据内镜和手术病理结果明确诊断。结果共确诊小肠肿瘤21例,其中男14例、女7例,平均年龄(53.9±15.7)岁,检出率为2.7%。临床表现为不明原因消化道出血(OGIB)19例、腹痛原因待查2例。4例小肠肿瘤患者检查时胶囊滞留于小肠病变部位。19例患者行外科手术治疗,2例患者行全身化疗。平均随访时间5～32(19±14)个月,2例患者在随访至5个月和17个月因肿瘤全身转移而死亡。结论胶囊内镜检查是疑诊小肠肿瘤患者有效的检查手段,利于小肠肿瘤早期诊治,改善预后。Objective To evaluate the diagnostic and therapeutic values of capsule endoscopy （CE） for small bowel tumors （SBTs）. Methods Totally 773 patients with suspected SBTs disease underwent CE during October, 2006 to December, 2011. Further examination was done for patients with suspected SBTs, and the final diagnosis was made by CE and pathological confirmation. Results SBTs were detected in 21 patients （14 males, and 7 females, mean age [53.9±15.7] years）, with a detection rate of 2.7%. Nineteen patients had obscure gastrointestinal bleeding and two had abdominal pain. Four events of capsule retention occurred at the lesion sites. Nineteen patients underwent surgical treatment and two received chemotherapy; the patients were followed up for a mean of （19±14） （range 5-32） months; and there were two death cases due to metastasis （one at 5 months of follow-up and the other at 17 months）. Conclusion CE is an effective choice for diagnosis of suspected SBTs, which is of guidance value for the treatment and prognosis of SBTs.

关 键 词：胶囊内镜检查 肠肿瘤 诊断 

分 类 号：R735.32[医药卫生—肿瘤]