1415例胶囊内镜在消化道疾病诊断中的应用体会  

1415 cases of gastrointestinal diseases diagnosis under capsule endoscopy

作　　者：王海红 金鹏[2] 赵晓军[2] 余东亮[2] 李爱琴[2] 王昕[2] 谢惠[2] 李娜[2] 李世荣[2] 盛剑秋[2] 

机构地区：[1]河南省民权县疾病预防控制中心门诊部,河南商丘476800 [2]北京军区总医院消化内科,北京100700

出　　处：《中国内镜杂志》2015年第2期121-126,共6页China Journal of Endoscopy

摘　　要：目的探讨胶囊内镜在消化道,特别是小肠疾病诊断中的应用价值。方法回顾分析该院1 415例胶囊内镜在全消化道的检查结果。结果该组1 415例胶囊内镜检查中,共检出食管、胃、小肠和结肠疾病1 161例/次,其中上消化道病变占39.3%(456/1 161),小肠病变占46.3%(537/1 161),结直肠病变占14.5%(168/1 161)。有31例患者接受胶囊内镜检查后,又接受了单气囊小肠镜检查,胶囊内镜对小肠憩室的检出率明显低于小肠镜,而对其他病变的检出率则与小肠镜相仿。结论胶囊内镜对食管、胃和结肠病变的发现率提高具有互补性;对无症状人群的常规筛查具有很好的应用前景,特别是对小肠疾病的筛查应用更加广泛。【Objective】To determine the efficiency of capsule endoscopy in gastrointestinal diseases especially in small intestinal diseases. 【Methods】The clinical data of 1415 patients who underwent capsule endoscopy（CE）were analyzed in digestive tract. 【Results】1161 patients showed gastrointestinal diseases, including 456 cases of upper digestive tract diseases, 537 cases of small intestinal diseases and 168 cases of colorectal diseases. 31 patients underwent single balloon enteroscopy（SBE） after capsule endoscopy. The detection rate was lower in CE than in SBE for diverticulum but is similar for other disease in small intestine. 【Conclusion】The capsule endoscopy is helpful to the diagnosis rate of gastric and colonic lesions of esophagus and is of good application prospect for routine screening for asymptomatic patients, especially the application in screening of intestinal diseases more widely.

关 键 词：胶囊内镜 消化道 小肠疾病 食管、胃和结肠 

分 类 号：R57[医药卫生—消化系统]