胶囊内镜与小肠钡餐在小肠疾病中诊断价值的对照分析

Comparative analysis of capsule endoscopy with enteroclysis in diagnosis of suspected small intestinal diseases

目的:评价及比较胶囊内镜和小肠钡餐对小肠疾病的诊断价值.方法:使用胶囊内镜和小肠钡餐对怀疑有小肠疾病的患者进行检查,比较二者对小肠病变的检出能力和副作用发生情况.结果:疑有小肠病变的14例患者都进行了胶囊内镜和小肠钡餐检查.患者症状包括:腹胀3例,腹痛3例,腹泻2例,消瘦1例,周期性发热1例,鲜血便4例,暗红色血便或黑便2例、癌胚抗原升高原因不明1例、肝癌查体1例.14例患者中,胶囊内镜检出了病变13例,病变检出率达92.86%,明确病因10例,检出的疾病包括小肠平滑肌瘤,淋巴瘤,息肉,黄色瘤,Crohn's 病,十二指肠球炎,血管畸形,蛲虫症,小肠炎(糜烂、充血斑),黏膜下肿物(性质未明).小肠钡餐检出病变2例,病变检出率为14.29%,其中明确诊断1例.结论:胶囊内镜检查对小肠病变的检出能力优于小肠钡餐,且无任何副作用,在一定的范围内可作为小肠疾病诊断的首选方法.

AIM:To assess the value of capsule endoscopy and enteroclysis in the diagnosis of small intestinal pathology. METHODS:We analyzed the outcomes of the patient ac- cepted capsule endoscopy and enteroclysis,who suffered with suspected small intestinal diseases from May 2002 to January 2003. RESULTS:A total of 14 patients revolved in this study,and they all accepted the enteroclysis before or after capsule endoscopy.The main symptoms that patients suffered in- cluded abdominal distention in 3 patients,abdominal pain in 3,diarrhea in 2,weight loss in 1,intermittent fever in 1, hematochezia in 4,and melena or maroon blood per rectum in 2.The yield of capsule endoscopy was higher than that of enterodysis.13 patients were identified that they suffered diseases with capsule endoscopy,and only 2 patients with enteroclysis.The diseases included leiomyoma,lymphoma, xanthoma,polyps,Crohn's disease,angiodysplasia, enteritis,duodenitis,and enterobiasis. CONCLUSION:Capsule endoscopy is a safe and well-tol- erated modality for visualizing the small bowel in patients with undetermined pathogeny and is found to be superior to enteroclysis in the diagnosis of small intestinal diseases.