53例膠囊內鏡檢查分析

Clinical analysis of 53 cases with capsule endoscopy

目的探討膠囊內鏡檢查對小腸病變的診斷價值。方法收集中国澳門鏡湖醫院2012年1月~2016年3月期間膠囊內鏡檢查的病例資料,回顧性分析其對小腸病變檢出率,不明原因消化道出血、腹痛、腹瀉的診斷價值。結果總共53例患者進行膠囊內鏡檢查,男性28例,女性25例,年齡10歲~90歲,平均年齡(51±21.8)歲,不明原因消化道出血27例,腹痛13例,慢性腹瀉8例,貧血查因3例,疑診克隆氏症2例。53例中發現小腸病變45例(84.9%)。其中小腸潰瘍20例(37.8%),糜爛31例(58.5%),活動性出血病變6例(11.3%),血管病變8例(15.1%),小腸狹窄3例(5.7%),小腸寄生蟲感染1例(1.9%)等。結論膠囊內鏡對小腸病變的檢出率高,尤其是不明原因的消化道出血,是一種無創、安全有效的檢查方法。

Objective To investigate the diagnostic value of capsule endoscopy in small intestinal lesion in Macao.Methods The data of capsule endoscopy were analyzed retrospectively from January 2012 to March 2016 in Kiang Wu Hospital,Macao.Its diagnostic value in finding small intestine lesions,locating obscure gastrointestinal bleeding sites,finding causes for abdominal pain and diarrhea were retrospectively analyzed.Results A total of 53 patients underwent capsule endoscopy,with 28 males and 25 females aged 10-90 years and mean age(51±21.8)years.27 cases had occult gastrointestinal bleeding,13 cases complained of abdominal pain,8 cases had chronic diarrhea,3 cases had anemia for investigation and 2 cases were suspected of Crohn's disease.Among the 53 cases,Intestinal lesions were found in 45 cases(84.9%),There were 20 cases(37.8%)of small intestinal ulcer,31 cases(58.5%)of erosion,6 cases(11.3%)of active hemorrhagic disease,8 cases(15.1%)of vascular lesions,3 cases of small intestinal stenosis(5.7%),1 case with small intestinal parasitic infections(1.9%).Conclusion Capsule endoscopy is a noninvasive,safe and effective method for the detection of small intestine lesions,especially in OGIB.