胶囊内镜在小肠克罗恩病诊治中的临床价值

Clinical value of capsule endoscopy in the diagnosis and treatment of small intestinal Crohn's disease

目的探讨胶囊内镜在小肠克罗恩病诊治中的临床价值。方法选取我院2013年10月～2016年10月诊治的小肠克罗恩病患者46例与非小肠克罗恩病患者91例,行胶囊内镜检查,分析胶囊内镜检查的灵敏度、特异度、准确度。结果 46例小肠克罗恩病患者与91例非小肠克罗恩病患者均顺利完成胶囊内镜检查,检查过程中患者耐受良好,未见明显主诉不适。胶囊内镜均在工作时间内到达回盲瓣,过瓣率达100%,患者均未发生嵌顿、梗阻等不良事件,在3 d内顺利排出胶囊内镜。胶囊内镜检查的灵敏度为97.8%。胶囊内镜检查的特异度为96.7%。胶囊内镜检查的准确度为97.1%。结论胶囊内镜在小肠克罗恩病诊治中具有较高的灵敏度、特异度、准确度,是一种安全无创的检查方法。

Objective To investigate the clinical value of capsule endoscopy in the diagnosis and treatment of small intestinal Crohn's disease. Methods 46 patients with small intestinal Crohn's disease and 91 patients with non-small intestinal Crohn's disease who were diagnosed and treated in our hospital from October 2013 to October 2016 were selected. They were all given capsule endoscopy. The sensitivity,specificity,and accuracy of capsule endoscopy were analyzed. Results 46 patients with small intestinal Crohn's disease and 91 patients with non-small intestinal Crohn's disease all successfully completed capsule endoscopy. The patient was well tolerated during the examination, and no obvious complaints of discomfort were observed. The capsule endoscopes reached the ileocecal valve within working hours, and the flap passing rate was 100%. No adverse events such as incarceration and obstruction were detected in the patients. The capsule endoscope was smoothly discharged within 3 days. The sensitivity of capsule endoscopy was 97.8%. The specificity of capsule endoscopy was 96.7%. The accuracy of capsule endoscopy was 97.1%. Conclusion Capsule endoscopy has high sensitivity, specificity and accuracy in the diagnosis and treatment of small intestinal Crohn's disease, which is a safe and non-invasive examination method.