胶囊内镜在小肠出血病因诊断中的应用

Application of capsule endoscopy in diagnosis of small bowel bleeding

目的评价胶囊内镜对小肠出血病因诊断的价值。方法采用国产OMOM胶囊内镜进行消化道检查分析19例不明原因小肠出血患者。结果19例患者行胶囊内镜检查,其中小肠血管畸形5例、间质瘤3例、克罗恩病2例、憩室2例、息肉1例、淋巴瘤1例。总阳性检出率73.7%。且14例患者均经手术及病理证实,余5例小肠黏膜未发现病变。结论胶囊内镜对小肠出血病因诊断有较高临床价值,且安全、无创。

Objective To evaluate the diagnostic valuation of capsule endoscopy in the cause of the small bowel bleeding. Methods The 17 patients with obscure small bowel bleeding and 2 patients with gastrointestinal bleeding, who could not undergo the traditional endoscopy, were enrolled to this study and underwent capsule endoscopy. Capsule endoscopy was performed with OMOM video capsule system （made in China）. Results All the 19 patients were examined by capsule endoscopy, capsule endoscopy disclosed definite bleeding sites in 14 of 19 patients of obscure small bowel bleeding and gastrointestinal bleeding, including vascular abnormalities in 5 cases and interstitialoma in 3 cases and Crohn＇s disease in 2 cases and diverticula in 2 cases and polypus in 1 case and lymphoma in 1 case, another 5 cases as negative findings, the total positives rate was 73.7%; 14 cases were verified by surgical operation and pathology. Conclusion Capsule endoscopy has a higher clinical valuation in diagnosing the cause of the small bowel bleeding, and it is a safe and non-invasive method.