76例胶囊内镜检查临床分析

The study on capsule endoscope analysis in 76 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临床价值和安全性。方法2006年9月～2008年7月对76例受检者进行了胶囊内镜检查,分析其临床资料。结果76例中发现病灶68例(89.5%),小肠病变58例(76.3%),胃及结肠病变10例。68例病灶中,46例患者同时存在2种或3种病变。所获取的图像质量良好。胶囊胃内运行平均时间为69(8～217)min,小肠内平均运行时间为305(193～562)min,平均记录时间为492(354～639)min,平均获取照片数为49290张,胶囊平均排出体外时间为31(18～100)h。受检者顺应性良好,无任何并发症发生。结论胶囊内镜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、顺应性好。

Objective To study on the efficiency and safety of capsule endoscope in patients with intestinal disorders. Methods Seventy-six subjects were examined by capsule endoscope from September,2006 to July,2008 and we had analyzed the clinical data. Results Capsule endoscopy disclosed pathologic focus in 68 out of 76 patients（89.5 % ）, disclosed the small bowel pathological changes 58 cases（76.3 % ） . The diseases of stomach or colon are 10 cases. Articulation of displayed images was considered to be good. The capsule endoscopies remained in the stomach for an average of 69 （range8 - 217 ）min. The mean transit lime in the small bowel was 305 （range 193 - 562 ） min. The mean time of recording was 492 （ range 354 - 639） min. The average number of the images was 49290 pages. The average time of the elimination of the capsule cndoscopes appeared in the stool was 341 （ range 18 - 100） h. All patients had well compliance, No complications were observed. Conclusion Capsule endoscopy is better than other techniques in detecting intestinal diseases and there is also a value on the diagnosis of stomach and colon disorders. It has a high rank of safety and nice compliance.