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目的探讨胶囊内镜在消化道疾病中的诊断价值及使用情况。方法选择223例消化道疾病患者,其中男性115例,女性108例;年龄12~84岁,中位年龄47岁。胶囊内镜检查前均行胃肠镜检查;口服胶囊,开启实时监控仪。观察胶囊在消化道内运行时间、排出体外时间、检查成功率及病变检出情况。结果 218例患者顺利完成胶囊内镜检查,检查成功率为97.76%。胶囊在食管内运行平均时间为76.5 s,在胃内运行平均时间为22.9 min,在小肠内运行平均时间为352 min,排出体外平均时间45.7 h。5例嵌顿在体内。检查有阳性病灶132例,阳性率59.19%,包括小肠炎/小肠溃疡37例(28.03%),小肠活动性出血11例(8.33%),小肠可疑肿物12例(9.09%),小肠可疑血管瘤/静脉扩张/血管畸形5例(3.79%),小肠淋巴滤泡增生7例(5.30%),胃炎/十二指肠炎/溃疡共32例(24.24%),消化道息肉7例(5.30%),寄生虫18例(13.64%),先天性短小肠1例(0.76%),小肠狭窄1例(0.76%),小肠异物1例(0.76%)。胃镜检查结果提示,胃炎183例(82.06%),消化性溃疡15例(6.73%),寄生虫病4例(1.79%),胃潴留2例(0.90%)。肠镜检查提示,未见异常134例(60.09%),回肠末端炎或溃疡8例(3.59%),大肠息肉34例(15.25%),直肠-结肠炎13例(5.83%),小肠出血6例(2.69%),大肠出血2例(0.90%),回盲部肿物2例(0.90%),直肠肿物1例(0.45%),大肠黑变病1例(0.45%)。结论胶囊内镜检查安全有效,对消化道疾病特别是小肠疾病具有重要的诊断价值。
Objective To investigate the diagnostic value and use of capsule endoscopy in gastrointestinal diseases. Methods A total of 223 patients with gastrointestinal diseases were selected, including 115 males and 108 females, aged 12-84 years with a median age of 47 years. Gastrointestinal endoscopy before capsule endoscopy; oral capsule, open the real-time monitoring instrument. Observe the capsule running time in the digestive tract, excreted time, check the success rate and lesion detection. Results 218 patients successfully completed capsule endoscopy, the success rate was 97.76%. The average time of operation in the esophagus is 76.5 s, the average time in the stomach is 22.9 min, the average time in the small intestine is 352 min, and the average time to excretion is 45.7 h. 5 cases incarcerated in the body. The positive rate was 59.19%, including 37 cases of enteritis / small intestinal ulcer (28.03%), 11 cases of small intestine active bleeding (8.33%), 12 cases of small intestine suspicious mass (9.09%), 5 cases (3.79%) of tumor / venous dilation / vascular malformation, 7 cases (5.30%) of intestinal lymphoid follicular hyperplasia, 32 cases (24.24%) of gastritis / duodenitis / ulcer, 7 cases of gastrointestinal polyps (5.30% ), 18 parasites (13.64%), 1 case of congenital short bowel (0.76%), 1 case of small bowel stenosis (0.76%) and 1 case of small bowel foreign body (0.76%). Gastroscopy showed that gastritis in 183 cases (82.06%), peptic ulcer in 15 cases (6.73%), parasitic disease in 4 cases (1.79%), gastric retention in 2 cases (0.90%). Colonoscopy revealed no abnormalities in 134 cases (60.09%), terminal ileitis or ulcer in 8 cases (3.59%), colorectal polyps in 34 cases (15.25%), rectal colitis in 13 cases (5.83%), small intestinal bleeding (2.69%), 2 cases of colorectal hemorrhage (0.90%), 2 cases of ileocecal tumor (0.90%), 1 case of rectal tumor (0.45%) and 1 case of colorectal melanosis (0.45%). Conclusion Capsule endoscopy is safe and effective, and has important diagnostic value for digestive diseases, especially small bowel diseases.