胶囊内镜在小肠肿瘤临床诊断中的价值

Capsule endoscopy for clinical diagnosis of small bowel tumor

目的探讨胶囊内镜在小肠肿瘤诊断中的临床价值。方法收集2015年1月至2019年11月我院行胶囊内镜检查发现的小肠肿瘤18例,所有患者均经外科手术或小肠镜检查病理学证实,对其临床资料进行回顾性分析。结果胶囊内镜下小肠肿瘤的总体检出率为2.1%。其中检出小肠腺癌7例(38.9%),小肠间质瘤7例(38.9%),小肠淋巴瘤2例(11.1%),小肠平滑肌肉瘤和小肠透明细胞肉瘤各1例(5.6%)。以消化道出血(88.9%)为首位就诊原因,50岁以上检出比例高达83.3%。结论胶囊内镜对小肠肿瘤诊断具有较好的临床实用性,尤其是对常规胃肠镜检查适应性较低的50岁以上人群。

Objective To explore the clinical value of capsule endoscopy in the diagnosis of small bowel tumor.Methods From Jan. 2015 to Nov. 2019, 18 cases of small bowel tumor were detected by capsule endoscopy in our hospital. All patients were confirmed by surgery or enteroscopy, and their clinical data were retrospectively analyzed. Results The overall detection rate of small bowel tumor under capsule endoscopy was 2.1%. There were 7 cases(38.9%) of small intestinal adenocarcinoma, 7 cases(38.9%) of small intestinal stromal tumor, 2 cases(11.1%) of small intestinal lymphoma, 1 case(5.6%) of small intestinal leiomyosarcoma and 1 case(5.6%) of small intestinal clear cell sarcoma. Gastrointestinal bleeding(88.9%) was the first cause of diagnosis, and the detection rate of patients over 50 years old was 83.3%.Conclusion Capsule endoscopy has good clinical utility for the diagnosis of small bowel tumor, especially for people over 50 years old who have less adaptability to routine gastroscopy.