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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 evaluate the diagnostic value of capsule endoscopy in the diagnosis of small intestine diseases and its diagnostic value on pathological changes of the esophagus, stomach and colorectum and to observe the compliance and safety of capsule endoscopy in patients. Methods From October 2002 to March 2003, 37 subjects underwent 38 examinations. 10 cases of healthy volunteers, 27 cases of gastrointestinal symptoms. Results There were 26 cases of small bowel lesions detected by capsule endoscopy: telangiectasia, venous dilatation, 4 cases of mucosal fatty spot, 2 cases of multiple ulcer (and) hemorrhage, 3 cases of roundworm and 5 cases of lymphoid follicular hyperplasia , Foreign body in 3 cases, polyps in 1 case. 7 cases of esophagitis, 27 cases of chronic gastritis, 4 cases of bile-ulnar reflux gastritis, 1 case of NSAID-associated gastritis and small intestine lesion, 5 cases of duodenal inflammation and 12 cases of duodenal bulb and colon Ulcers and other lesions. Capsule endoscopic images clear. Subjects with good compliance, without any complications. Conclusion Capsule endoscopy has good detection of small intestine lesions, the upper and lower digestive tract also have some diagnostic value, especially for suspected intestinal diseases and should not be traumatic examination of patients with gastrointestinal diseases.