胶囊内镜临床应用37例分析

Capsule endoscopies, analysis of the results in thirty-seven cases

目的 评价胶囊内镜对小肠疾病的诊断价值及其对途经的食管、胃、大肠病变的诊断价值,观察患者使用胶囊内镜的顺应性和安全性。方法 2002年10月至2003年3月,对37例受检者进行了38次检查。其中健康志愿者10例,有消化道症状者27例。结果 胶囊内镜检查发现的小肠病变有26例:毛细血管扩张症、静脉扩张、黏膜脂肪斑各4例,多发性溃疡(和)出血2例,蛔虫症3例,淋巴滤泡重度增生5例,异物3例,息肉1例。并且检出了食管炎7例、慢性胃炎27例,胆汗反流性胃炎4例,NSAID相关性胃炎及小肠病变1例,十二指肠炎症5例,及十二指肠球部、结肠溃疡等病变。胶囊内镜图像清晰。受检者顺应性良好,无任何并发症。结论 胶囊内镜对小肠病变具有较好的检出能力,对途经的上、下消化道也有一定的诊断价值,尤其适用于怀疑小肠疾病以及不宜行创伤性检查的消化道疾病患者。

Objective To study on the efficiency and safety of capsule endoscopy in patients with intestinal disorders. Methods Thirty-seven subjects (30 males and 7 females, 52. 5±21. 6 yrs. ) were examined by capsule endoscopies from October 2002 to March 2003 ,27 of them with various intestinal disorders and the rest 10 healthy volunteers. Results The gastrointestinal disorders that observed by capsule endoscopies as follows; small intestinal capilloectasia 4, small intestinal phlebectasia 4, enteric mucosal aliphatic patches 4, small intestinal ascariasis 3, jejunal folliculoplasia 5,jejunal multiple ulcers with hemorrhage 1 , ileal multiple ulcer 1 , foreign bodies 3, ileal polyps 1 , esophagitis 7, chronic gastritis 27 , bile regurgitating gastritis 4, NASID related gastritis 1 , duodenal ulcer 3,duodenitis 5, colonic ulcer 1 , colonic polyps 1 , etc. The images of capsule endoscopy are quite clear, no uncomfortable feeling or complications occurred in the processes. Conclusion The capsule endoscopy is a highly useful technique in detecting gastrointestinal diseases especially in those unsuitable to receive other invasive technique.