胶囊内镜检查22例分析

Capsule endoscopye analysis in twenty-two patients

目的探讨胶囊内镜对消化道疾病的诊断价值，观察胶囊内镜检查的顺应性和安全性。方法2005年1月至12月，对22例受检者进行了胶囊内镜检查，分析其临床资料。结果22例中发现小肠病变18例（81．8％），包括血管畸形3例，脂肪瘤1例，克罗恩病1例，息肉4例，口疮样小溃疡3例，非特异性炎症7例，其中，6例患者同时存在2种病变。检出慢性浅表性胃炎16例，胆汁反流性胃炎3例，糜烂性胃炎1例，胃息肉1例，结肠息肉2例。所获取的图像质量良好。胶囊胃内运行平均时间为56min（10—183min），小肠内平均运行时间为278min（93-441min），平均到达盲肠时间为338min（184-496min），平均记录时间为502min（392-510min），平均获取照片数为60240张，胶囊平均排出体外时间为34h（10-72h）。受检者顺应性良好，无任何并发症发生．结论胶囊内镜是对小肠疾病具有较高的检出能力，对胃和结肠也有一定的诊断价值。其安全性高。

Objective To study on the efficency and safety of capsule endoscope in patients with intestinal disorders. Methods Twenty-two subjects were examined by capsule endoscopies from January to December, 2005. Results Pillcam capsule endoscopy disclosed pathologic small bowel findings in 18 out of 22 patients （81.8 % ）. Findings consisted of angiodysplasia （3 cases）, lipoma（ 1 case）, Crohn＇ s disease （ 1 case）, polypoid lesion （4 cases ）, Aphthous ulcer（ 3 cases）, nonspecific inflamation（7 cases）. Six patients had two or more different lesions. Chronic superficial gastritis（ 16 cases）, bile reflux gastritis （3 cases）,erosive gastritis（ 1 case）, gastric polyp（ 1 case）, colonic polyp（2 cases）were discovered. The images displayed were considered to be good. The capsule endoscopies remained in the stomach for an average of 56 min （range10 - 183 min）. The mean transit time in the small bowel was 278 min（range 93 -441 min） .The mean time to reach the caecum was 338 min （184 496 min）. The mean time of recording was 502 min（from 392-510 min）. The average number of the images transmitted by the capsule was 60 240 pages. The average time of the elimination of the capsule endoscopes appeared in the stool was 34 h （range 10- 72 h）.All 22 patients stated that the capsules were easy to swallow,painless and safe. No complications were ob- served. Conclusion Capsule endoscopy is a highly useful technique in detecting gastrointestinal diseases and it is valuable on the diagnosis of stomach and colon disorders. It is safe and well tolerated.