潜水胶囊内镜在小肠疾病诊断中的应用（含视频）

Diagnostic value of diving capsule-endoscopy for small intestinal diseases

目的改良胶囊内镜在小肠的检查方法，提高小肠疾病的检出率。方法回顾性分析2014年1月至2014年12月行常规胶囊内镜检查的15例患者临床资料（常规组），对比2015年1月至2015年8月行潜水胶囊内镜检查的15例患者临床资料（潜水组）。观察胶囊内镜在小肠内的工作时间，小肠黏膜观察满意度，病变检出率等。结果胶囊内镜检查在小肠内平均工作时间，潜水组为（155．60±96．103）min，较常规组的（355．80±235．325）min明显缩短，差异有统计学意义（p〈0．01）。小肠黏膜观察满意度总评分，潜水组为（4．93±0．704）分，较常规组的（2．87±0．834）分明显较高，差异有统计学意义（P〈O．01）。病变检出率，潜水组为73．33％（11／15），亦显著高于常规组的33．33％（5／15），差异有统计学意义（P〈O．01）。结论潜水胶囊内镜检查是一种行之有效的小肠疾病检查方法。

Objective To investigate the diagnostic value of diving capsule-endoscopy for small in- testinal diseases. Methods Data of 15 patients undergoing conventional capsule endoscopy from January to December in 2014, and those of 15 patients undergoing diving capsule endoscopy from January to August in 2015 were retrospectively analyzed. The working time in small intestine, observation satisfaction of small in- testinal mueosa and lesion detection rate were compared. Results Mean working time of capsule endoscopy in small intestine in diving group （155.60 ± 96. 103 min）was shorter than that in conventional group （355.80±235. 325 min）and the difference was statistically significant（ P〈0. 01 ）. Compared with observation satisfaction with the small intestinal mucosa in conventional group（ 2. 87±0. 834 score） , that in diving group （4. 93±0. 704 score）was significantly higher, and the difference was statistically significant（P〈0. 01 ）. The lesion detection rate in diving group（73.33%, 11/15）was also significantly higher than that in conventional group（33.33%,5/15） （P〈0. 01）. Conclusion Diving capsule-endoscopy is a useful method to examine small intestinal diseases.