胶囊内镜对消化道疾病56例的诊断价值

    Role of capsule endoscopy in diagnosis of gastrointestinal diseases:report of 56 cases

    • 摘要: 目的:探讨胶囊内镜对消化道疾病的诊断价值。方法:对56例患者进行胶囊内镜检查,并结合临床资料分析胶囊内镜完成率,消化道各部分阳性检出率,以及不明原因消化道出血及其他腹部症状的阳性检出率。分析胶囊内镜检查的诊断价值。结果:56例中完成胶囊内镜检查54例,均发现阳性病灶,其中食管病变合并胃部疾病1例(1.8%),单纯胃部疾病15例(27.8%),胃部疾病合并小肠疾病38例(70.4%)。其中19例消化道出血患者检出小肠病变14例(73.7%);腹痛、腹泻等其余症状病例31例,检出小肠病变18例(58.1%);6例无症状患者检出反流性食管炎合并浅表性胃炎1例、单纯浅表性胃炎5例。老年患者26例有1例胶囊滞留于胃腔,完成胶囊内镜25例;中青年患者有1例胶囊滞留于胃内。结论:胶囊内镜对小肠疾病具有较高的检出率,对胃部疾病也有一定的诊断价值,顺应性好。

       

      Abstract: Objective:To discuss the value of capsule endoscopy in diagnosis of gastrointestinal diseases.Methods:Fifty-six patients received the capsule endoscope examination.The clinical data,executive rate,positive detection rate in the respective parts of the digestive tract and positive rate of obscure gastrointestinal bleeding and other abdominal symptoms were analyzed; The diagnostic value of the capsule endoscope was also assessed.Results:The capsule endoscope examination was completed in 54 of the 56 patients.Pathologic lesions were observed in all the 54 cases.Esophagus and stomach changes were found in 1 case(1.8%),pure stomach changes in 15 cases (27.8%) and stomach and small bowel pathological changes in 38 cases.The detection rates were 1.8%,27.8%and (70.4%).Out of the 19 patients with obscure gastroinstestinal bleeding and 18 out of the 31 patients with abdominal symptoms were proved to have small intestine lesions; the detection rates were 73.7% and 58.1%,respectively.Of the 6 patients with no symptoms,one was confirmed to have reflux esophagitis and 5 had superficial gastritis.Among the 26 elderly patients,one had retained capsule in the stomach and the others went through the capsule endoscopy examination.Conclusions:The capsule endoscopy is effective in detecting intestinal diseases and diagnosis of stomach disorders.It has the advantages of nice compliance.

       

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