磁控胶囊内镜在上消化道疾病筛查中的应用及选择意向调查研究  

Application of magnetron capsule endoscopy in the screening of upper gastrointestinal diseases and selection intention investigation

作　　者：王雯舒 牟方宏[1] 安迪 李琳 王鲁燕[1] 李方[2] 朱元民 Wen-shuWang;Fang-hong Mu;Di An;Lin Li;Lu-yanWang;Fang Li;Yuan-min Zhu(Department of Gastroenterology,Aerospace Center Hospital,Beijing 100049,China;Department of Pathology,Aerospace Center Hospital,Beijing 100049,China)

机构地区：[1]航天中心医院消化内科,北京100049 [2]航天中心医院病理科,北京100049

出　　处：《中国内镜杂志》2022年第12期74-79,共6页China Journal of Endoscopy

基　　金：航天中心医院青年创新基金(No:2021QN03)。

摘　　要：目的通过收集该院接受磁控胶囊内镜检查的患者的资料,获得磁控胶囊内镜在上消化道肿瘤及癌前疾病中的检出率,研究磁控胶囊内镜在上消化道疾病筛查中的应用价值,同时分析选择磁控胶囊内镜检查患者的人群特点和选择原因,为该检查进一步推广提供依据。方法回顾性分析2020年11月-2021年12月该院接受磁控胶囊内镜患者的信息,在检出疑似上消化道肿瘤患者中进一步经胃镜下活检病理证实,同时完善“磁控胶囊内镜检查选择意向调查表”,收集选择胶囊内镜检查人群的基本信息,应用SPSS 25.0软件统计并分析数据。结果磁控胶囊内镜检查上消化道肿瘤检出率为2.04%(1/49)。癌前病变中,萎缩性胃炎检出率为10.20%(5/49),胃溃疡检出率为4.08%(2/49),胃息肉检出率为8.16%(4/49)。患者选择磁控胶囊内镜检查的原因集中在:害怕胃镜检查(34.69%,17/49),一项检查可以实现胃及肠道检查(34.69%,17/49),体检没有必要做胃镜那样痛苦的检查(36.73%,18/49)等。结论磁控胶囊内镜在畏惧胃镜检查、现有疾病或其他条件无法实现胃镜检查的患者中发挥重要的筛查作用,是胃镜检查的重要补充。Objective Through the collection of magnetron capsule endoscopy patients data,the detection rate of magnetron capsule endoscopy in the upper gastrointestinal tumor was obtained,the application value of magnetron capsule endoscopy in the screening of upper gastrointestinal tumors and other lesions was studied.The population characteristics and reasons for selecting magnetron capsule endoscopy patients were analyzed,so as to provide a basis for the further promotion of the examination.Methods Retrospectively collect the information of magnetron capsule endoscopy patients from November 2020 to December 2021,if detect suspected upper gastrointestinal tumors,further confirmed by gastroscopic biopsy pathology,and through the“Magnetron Capsule Endoscopy Selection Intention Questionnaire”to collect the basic information and reasons for patients who selected capsule endoscopic,and apply SPSS 25.0 statistics and analysis data.Results The detection rate of upper gastrointestinal tumors in the magnetron capsule endoscopy of our hospital was 2.04%(1/49),detection rate of atrophic gastritis was 10.20%(5/49),detection rate of gastric ulcers 4.08%(2/49),detection rate of gastric polyps 8.16%(4/49).The reasons why patients choose magnetron capsule endoscopy are mainly due to three reasons,such as fear of gastroscopy(34.69%,17/49),a test that can achieve gastrointestinal and intestinal examination(34.69%,17/49),and the physical examination does not require a painful examination like gastroscopy(36.73%,18/49).Conclusion Magnetron capsule endoscopy played an important screening role in patients who are afraid of gastroscopy,or existing diseases or other conditions that gastroscopy cannot be achieved.And magnetron capsule endoscopy is an important supplement to gastroscopy.

关 键 词：磁控胶囊内镜 上消化道肿瘤筛查 检出率 选择意向调查 醋酸染色 

分 类 号：R57[医药卫生—消化系统] R735[医药卫生—内科学]