磁控胶囊内镜的临床应用  

Clinical application of magnetic capsule endoscopy

作　　者：吴晓倩[1] 崔子瑾 孟翠巧[1] 刘学欣 聂倩[1] WU Xiaoqian;CUI Zijin;MENG Cuiqiao(Physical Examination Center,Hebei General Hospital,Hebei,Shijiazhuang 050051,China;不详)

机构地区：[1]河北省人民医院体检中心,石家庄市050051 [2]河北省人民医院消化内科,石家庄市050051

出　　处：《河北医药》2024年第23期3551-3555,共5页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:20180178);河北省政府资助临床医学优秀人才项目(编号:2F2022021)。

摘　　要：目的 回顾性分析磁控胶囊内镜联合电子胃镜在临床中的应用,包括对胃部及小肠常见疾病的诊断与筛查。方法 收集2018年9月至2022年8月在河北省人民医院进行磁控胶囊内镜检查的患者910例,分析磁控胶囊内镜诊断的准确性,另对此910例患者进行回顾性分析,在不同年龄组方面;以季节分为春夏秋冬4组,分析不同疾病的发病率的差异。结果 910例患者中465例患者3个月内进行过电子胃镜检查,磁控胶囊内镜对于食管的诊断符合率差异有统计学意义(P<0.05),胃部及十二指肠诊断符合率差异无统计学意义(P>0.05)。另对此910例患者进行回顾性分析,在不同年龄组方面,部分疾病的检出率组间比较差异有统计学意义(P<0.05),以中老年组最多见;以性别分组,进行回顾性统计学分析,慢性非萎缩性胃炎和胃息肉两种疾病男性检出率均低于女性,差异有统计学意义(P<0.05);反流性食管炎、十二指肠溃疡、胃溃疡女性检出率均低于男性,差异有统计学意义(P<0.05)。对910例患者的小肠的检查进行统计学分析,其中小肠肿物的检出率为3/910,小肠出血的检出率为2/910,小肠多发淋巴管扩张289/910,回肠多发淋巴滤泡增生的检出率为216/910,小肠炎的检出率为26/910,小肠多发血管扩张检出率为1/910。结论 磁控胶囊内镜应用于胃部检查及十二指肠检查的结果与电子胃镜的检出率相似,食管的诊断较电子胃镜检查有差异,对910例患者进行胃部检查进行回顾性分析,中老年人疾病的发病率更高,男性胃病疾病的发病率高于女性,可用于胃部疾病的筛查,磁控胶囊内镜检查亦可用于小肠疾病的诊断。Objective To retrospectively analyze the clinical application of magnetic capsule endoscopy combined with electronic gastroscope,including screening and analysis of common diseases of stomach and small intestine.Methods A total of 910 patients receiving magnetic capsule endoscopy in Hebei General Hospital from September 2018 to August 2022 were collected.The diagnostic accuracy of magnetic capsule endoscopy was analyzed.In addition,910 patients with varying age groups were retrospectively analyzed.They were divided into four groups according to seasons,and the differences in the incidence of different diseases were analyzed.Results Among 910 patients,465 patients underwent electronic gastroscopy within 3 months.There was a significance in the diagnostic coincidence rate of the esophagus by magnetic capsule endoscopy(P>0.05),while no significant difference was found in the diagnostic coincidence rate of the stomach and duodenum(P<0.05).In addition,a retrospective analysis of 910 patients showed significant differences in the detection rates of some diseases among different age groups(P<0.05),most of which were found in the middle-aged and elderly group.Retrospective statistical analysis by gender groups showed that the detection rates of chronic non-atrophic gastritis and gastric polyp in males were significantly lower than those in females(P<0.05).The detection rates of reflux esophagitis,duodenal ulcer and gastric ulcer in females were significantly lower than those in males(P<0.05).Statistical analysis was performed on the small intestine examination of 910 patients,among which the detection rate of small intestine masses,small intestine hemorrhage,small intestine multiple lymphatic vessel dilatation,ileum multiple lymphatic follicular hyperplasia,small enteritis,and multiple vascular dilatation was 3/910,2/910,289/910,216/910,26/910 and 1/910,respectively.Conclusion The diagnostic rate of magnetic capsule endoscopy in gastric examination and duodenal examination is similar to the electronic gastroscopy,but the

关 键 词：磁控胶囊内镜 电子胃镜 慢性非萎缩性胃炎 胃溃疡 十二指肠球部溃疡 电子胃镜 小肠肿物 

分 类 号：R57[医药卫生—消化系统]