磁控胶囊内镜在体检人群胃部疾病诊断中的应用价值研究  

The application value of magnetic-controlled capsule endoscopy for gastric diseases in physical examination of asymptomatic population

作　　者：朱曙光[1] 王家林[2] 钱阳阳[1] 周巍[1] 杨婷[1] 蔡晨[2] 张静峰[2] 李敏玉[2] 郑国栋[2] 刘晓[1] 安薇[1] 苏晓菊[1] 廖专[1] 李兆申[1] 

机构地区：[1]第二军医大学附属长海医院消化内科,上海200433 [2]第二军医大学附属长海医院特需诊疗科,上海200433

出　　处：《中华消化内镜杂志》2017年第5期309-313,共5页Chinese Journal of Digestive Endoscopy

基　　金：教育部长江学者奖励计划青年项目（Q2015190）;国家自然科学基金优秀青年科学基金（81422010）;国家重大科仪设备开发专项（2013YQ160439）;国家卫生和计划生育委员会公益性行业科研专项（2015sQ00176）;教育部高等学校全国优秀博士学位论文作者专项资金（201271）;上海市卫生和计划生育委员会优秀青年人才计划（XYQ2013070）;上海人才发展资金（201364）;第二军医大学优秀青年学者基金

摘　　要：目的探讨磁控胶囊内镜在无症状体检人群中诊断胃部疾病的应用价值。方法回顾分析长海医院消化内镜中心2015年7月至2016年12月期间行磁控胶囊内镜胃部检查的211例无症状体检者临床资料，观察分析磁控胶囊内镜检查对受检者病变的检出情况，转胃镜检查情况，耐受度及安全性。结果211例受检者中，胃内局灶性病变检出率为9．5％（20／211），且男性受检者胃内局灶性病变检出率高于女性（P〈0．05）。受检者均顺利完成磁控胶囊内镜检查，无胶囊滞留及其他不良事件发生。结论磁控胶囊内镜作为一种新型非侵人性胃部检查方式，在无症状人群中的胃部病变检出率较高，且安全性高、耐受度好，可作为无症状体检人群胃部疾病筛查的常规检查手段。Objective To investigate the application value of magnetic- controlled capsule endoscopy （MCE） for gastric diseases in physical examination of asymptomatic population. Methods Data of 211 asymptomatic individuals who received MCE examinations from July 2015 to December 2016 in Changhai Hospital were collected and retrospectively analyzed. The tolerance and safety of MCE were studied by analyzing the detection rate for the focal lesions and the rate of endoscopy transfer. Results Among 211 patients, the detection rate of the gastric focal lesions was 9.5% （20/211）. The detection rate in male was higher than that in female （P〈0. 05）. All patients completed MCE examination successfully and no adverse event was reported. Conclusion MCE, a non-invasive endoscopic modality, is safe and better tolerated than conventional endoscopy, and can be used as a promising approach to screening the gastric diseases in asymptomatic population due to high detection rate of these diseases.

关 键 词：胶囊内镜 胃疾病 无症状人群 诊断 

分 类 号：R573[医药卫生—消化系统]