胶囊内镜对小肠疾病诊断价值初探

Initial experience of capsule endoscopy for diagnosing small bowel diseases

目的 :小肠疾病的诊断十分困难。胶囊内镜检查是新的无创性主要用于诊断小肠疾病的方法 ,对其诊断价值进行评估。方法 :对 18例经X线钡剂造影、胃及结肠镜检查正常 ,疑诊为小肠疾病的患者进行胶囊内镜检查。结果 :18例中发现小肠病变 10例 ( 5 5 .6% ) ,包括血管发肓不良、肿瘤、Crohn氏病、溃疡等。检查过程中无任何痛苦及并发症发生。结论 :胶囊内镜能清晰地观察小肠 ,安全性好 。

Objective: It is very difficult that the diagnosis of small bowel diseases. Capsule endoscopy is a newly innovative method used mainly diagnosis of small bowel diseases. This study was to explore the diagnostic value of capsule endoscopy in the diagnosis of small bowel diseases.Methods: We used the Given (M 2A) system to 18 patients in whom there was a clinical suspicion of small bowel disease. All patients had small bowel baricum radiography, gastroscopy and colonoscopy , and they were all normal.Results: Capsule endoscopy destected pathologic small bowel findings in 10 out of 18 patients (55.6%). Findings consisted of angiodysplasia, tumor, Crohn's disease, ulcer, and so on. There were no any painless and complications during capsule endoscopy.Conclusion: This study demonstrates that capsule endoscopy provides excellent visualization of the small intestines, is safe , and is useful for evaluating suspected small bowel diseases.