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目的探讨胶囊内镜在诊断小肠肿瘤中的作用及对其治疗的价值。方法收集2002年5月至2007年2月因疑似小肠疾病而行胶囊内镜检查者共358例,对其中疑诊小肠肿瘤者作进一步检查,根据内镜或手术病理结果明确诊断。结果358例中共明确诊断小肠肿瘤33例(男14例,女19例),平均年龄(51±17)岁,发现率为9.22%,其中恶性肿瘤23例,占69.70%,良性肿瘤10例,占30.30%。临床表现分别为不明原因消化道出血26例、出血伴腹痛2例、腹痛2例,腹痛伴腹泻1例,腹泻伴出血1例,呕吐1例。良性肿瘤组行手术治疗后原有症状基本消失,恶性肿瘤组2例未行手术治疗,3例行姑息性手术治疗,18例彻底切除病灶。胶囊内镜所提示病变部位与术中发现病灶位置基本吻合。结论胶囊内镜对小肠肿瘤具有较高的检出率,且小肠肿瘤中以恶性者居多。经胶囊内镜明确诊断后将彻底改变对患者的治疗策略。
Objective To explore the role of capsule endoscopy in the diagnosis of small intestinal tumors and its value of treatment. Methods A total of 358 cases of suspected small bowel diseases were collected from May 2002 to February 2007 due to suspected small bowel diseases. The patients with small bowel tumors were further examined according to the results of endoscopy or surgical pathology. Results A total of 358 cases of small bowel tumors were diagnosed in 33 cases (14 males and 19 females) with a mean age of (51 ± 17) years. The detection rate was 9.22%, of which 23 were malignant (69.70%), 10 were benign Accounting for 30.30%. Clinical manifestations were unknown cause of gastrointestinal bleeding in 26 cases, bleeding with abdominal pain in 2 cases, abdominal pain in 2 cases, abdominal pain with diarrhea in 1 case, diarrhea with hemorrhage in 1 case, vomiting in 1 case. In the benign tumor group, the original symptoms disappeared after operation. In the malignant tumor group, 2 cases were not surgically treated, 3 cases were treated with palliative surgery, and 18 cases were completely resected. Capsule endoscopic lesions prompted the location of the lesion found in surgery basically consistent. Conclusion Capsule endoscopy has a high detection rate of small intestine tumors, and most of the small intestine tumors are malignant. After the capsule endoscopic diagnosis will completely change the patient’s treatment strategy.