胶囊内镜对86例患者小肠疾病的诊断分析

Diagnosis analysis of capsule endoscopy on 86 cases with intestinal disease

目的:分析评价胶囊内镜对小肠疾病的诊断价值。方法:对86例怀疑有小肠疾病的患者行胶囊内镜检查,并分析检查结果。结果:共检出小肠病变48例(55.8%)。其中小肠血管发育异常17例,小肠绒毛萎缩10例,小肠息肉5例,小肠溃疡3例,小肠炎症8例,小肠隆起性病变2例,小肠钩虫病1例,疑似炎症性肠病1例,末端回肠炎症伴回盲部占位1例。不明原因消化道出血23例中,检查出小肠病变19例,阳性率82.6%,其中小肠血管发育异常或伴活动性出血11例,小肠溃疡3例,钩虫病1例,小肠息肉3例,小肠多发隆起灶1例。胶囊内镜正常电池范围内对小肠检查情况:86例中有14例未能完成抵达回盲部,占16.3%。但其中10例已经发现小肠病变。结论:胶囊内镜对小肠疾病诊断率高,尤其适用于不明原因的消化道出血患者。

Objective：To evaluate the application of capsule endoscopy in the diagnosis of small bowel disease.Methods：Eighty-six cases suspected of small intestinal diseases were enrolled to this study and underwent capsule endoscopy.Results：In the 86 patients,48 cases of small intestinal lesions were detected（55.8%）.The findings consisted of 17 cases of small intestinal vascular dysplasia,10 small intestinal villus atrophy,5 intestinal polyps,3 ulcer of small intestine,8 inflammation of the small intestine,2 protuberant lesions of small intestine,1 intestinal hookworm disease,suspected of 1 cases of inflammatory bowel disease,and 1 case of inflammation of terminal ileum with ileocecal.In 23 cases of gastrointestinal bleeding of unknown causes,the 19 cases of small intestinal lesions were checked out,positive rate was 82.6%,included of 11 cases of mall intestinal vascular dysplasia or active bleeding,3 ulcr of small intestine,1 hookworm disease,3 intestinal polyps and 1 intestinal uplift foci.Within the normal range of batteries of capsule endoscopy for intestinal inspection：14 out of 86 cases（16.3%）failed to reach colon,but with 10 cases of intestinal lesions have been found.Conclusion：Capsule endoscopy is an efficient tool in the diagnosis of small bowel disease,especially suitable for patients with digestive tract hemorrhage of unknown origin.