浅析胶囊内镜在小肠疾病诊断中的应用

Analysis of Capsule Endoscopy in the Diagnosis of Small Intestinal Diseases

目的:分析胶囊内镜在小肠疾病诊断中的临床应用价值。方法:选取我院治疗不明原因消化道出血的65例患者,进行胶囊内镜检查75次。结果:共检出病变56例,阳性检出率为86.2%,阴性率为13.8%。其中小肠血管畸形25例,小肠肿瘤7例(手术证实血管瘤3例,小肠癌3例,淋巴瘤1例),小肠溃疡5例,小肠糜烂3例,小肠克罗恩病4例,小肠憩室3例(手术证明Meckel憩室2例),活动性出血5例,小肠寄生虫病3例,小肠息肉1例。结论:胶囊内镜对小肠疾病诊断率较高,可达86.2%,安全且无痛苦,具有较好的临床应用价值。

Objective： To analysis of capsule endoscopy in diagnosis of small bowel diseases clinical application value.Methods： In our hospital for the treatment of unexplained gastrointestinal bleeding in 65 patients,capsule endoscopy 75 times.Results： There were lesions in 56 patients,the positive rate was 86.2%,the negative rate of 13.8%.The small intestinal vascular malformation in 25 cases,7 cases of small intestinal tumor（operation confirmed hemangioma in 3 cases,small bowel cancer in 3 cases,lymphoma： a report of 1 cases）,small intestinal ulcer in 5 cases,3 cases of intestinal erosion,small bowel Crohn’s disease in 4 cases,3 cases with small intestinal diverticulum（operation prove that Meckel diverticulum in 2 cases）,active bleeding in 5 cases,intestinal parasitic diseases in 3 cases,small bowel polyps in 1 cases.Conclusion： Capsule endoscopy in diagnosis of small bowel diseases rate is higher,up to 86.2%,safety and no pain,has good clinical application value.