胶囊内镜的临床应用

Clinical Applications of Capsule Endoscopy

目的总结和探讨胶囊内镜应用价值和体会。方法 2008年6月至2011年6月河北大学附属医院胶囊内镜检查119例,男性67例,女性52例,年龄21～83岁,检查前服用聚乙二醇电解质散清洁肠道,吞服胶囊时间为8:00-11:00。结果胶囊通过幽门时间:<60 min 104例,>120 min 14例,其中12例应用胃复安10 mg,肌肉注射,通过幽门,2例内镜协助胶囊通过幽门。胶囊排出时间:多为1～3 d。小肠检查完成103例(86.55%),全结肠检查完成3例(2.52%)。小肠病变检出率为33.05%,胃十二指肠病变检出率为33.61%,结肠病变检出率为2.54%,总阳性率为69.49%。并发症:梨状窝胶囊嵌顿1例;胶囊滞留1例。结论胶囊内镜检查安全、方便、依从性好、并发症发生率低,对小肠病变诊断非常有意义。

Objective To assess the value and summarize the expierence of clinical applications of capsule endoscopy. Methods From June 2008 to June 2011, 67 male and 52 female patients aged 21-83 years old were examined with capsule endoscopy in our hospital. The examinations were generally conducted from 8：00 to 11：00 AM and polyethylene glycol elect rolyte powder was used for bowel preparation. Results Less than 60 min were taken to pass throgh the pylorus in 104 cases, and more than 120 min in 14 cases. Intramuscular injection of metoclopramide was applied to facilitate movement of the capsule endoscopies in 12 cases, and flexible endoscope in 2 cases. After 1-3 days, the capsule endoscopies were usually excreted from the bowels. Small intestine examination was completed in 103 case （88.65%）, while total colon examination in 3 cases （2.52%）. The detection of jejun-ilealintestinal, gastroduodenal and colonic lesion were 33.05%, 33.61% and 2.54% respectively. There occurred a few complications, including a case of incarcerated pyriform sinus and a case of capsule retention. Conclusion With its security, convenience, good-compliance and less complications, capsule endoscopy is highly significant for diagnosis of small intesinal lesions.