胶囊内镜在慢性腹痛患者中的应用价值

The Application value of capsule endoscopy in patients with chronic abdominal pain

目的探讨胶囊内镜在慢性腹痛中的诊断价值和安全性。方法对2008年8月至2009年11月期间不明原因的慢性腹痛患者24例进行胶囊内镜检查，同期12例体检者作为对照组。观察两组患者的小肠运转时间、病变及部位、图像质量及顺应性。结果所有受检者在胶囊内镜检查过程中无任何不适和并发症，均顺利完成检查，所得图像清晰。胶囊1～3d自然排出。腹痛组小肠转运时间为（252．69±95．19）min，体检组小肠运转时间为（209．33±34．32）min。其中腹痛组4例胶囊未通过回盲瓣，体检组1例胶囊未通过回盲瓣。检出病变有胃溃疡、小肠炎症、克罗恩病、小肠NSAIDs溃疡、息肉、间质瘤及肠道寄生虫等。结论胶囊内镜检查无痛苦，成功率高，对病变检出率高，对不明原因慢性腹痛患者有较好的诊断价值。

Objective To research the diagnosis value and risk of capsule endoscopy in patients with chronic abdominal pain. Methods 24 patients with unexplained chronic abdominal pain from August 2008 to November 2009 were inspected with capsule endoscopy as case group, and 12 physical examination persons as normal controls. Study the running time in small intestine,lesions＇ character and location, image quality, and adaptability. Results All the patients had completed the examination and had no discomfort or syndromes. The images were clearly. The capsule endoscopies was discharged during 1 to 3 days. The running time of case group was （252. 69 ± 95.19 ） min, the controls was （209.33 ± 34. 32） min. The 4 capsule endoscopies had no arrived ileoceeal valves in case group and 1 capsule endoscopy in control group. The lesions were inspected including gastric ulcer,small intestinal inflammation, Crohn＇ s disease, small intestinal NSAID＇ s ulcer, polyps, Mesenchymoma,intestinal parasite. Conclusion The characters of capsule endoscopy is no painful, high success rates and high inspective rates, and preferable diagnosis value in patients with chronic abdominal pain.