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目的 探讨胶囊内镜在小肠克罗恩病诊断中的应用价值。方法 对 2 0例其它检查正常但临床症状疑似小肠克罗恩病的患者进行胶囊内镜检查 ,这些患者伴有不同程度腹痛、消瘦、大便隐血阳性、缺铁性贫血、腹泻或发热等症状体征 ,平均持续 6 5年。结果 2 0例患者中共发现克罗恩病 1 3例 ,胶囊内镜下表现包括黏膜糜烂 (2例 )、口疮样溃疡 (5例 )、肉芽肿性结节样病变 (1例 ) ,大溃疡 (2例 )和溃疡伴肠腔不完全狭窄 (3例 )。结论 胶囊内镜对经传统方法未能检出的疑似小肠克罗恩病具有较高的检出率 ,尤其是对疾病早期和对轻型患者的诊断具有明显优越性
Objective To investigate the value of capsule endoscopy in the diagnosis of small bowel Crohn’s disease. Methods Twenty patients with normal Crohn’s disease who had normal clinical symptoms and suspected Crohn’s disease with clinical symptoms underwent capsule endoscopy. The patients were accompanied with varying degrees of abdominal pain, weight loss, fecal occult blood, iron deficiency anemia, diarrhea or fever and other symptoms and signs , An average of 65 years. Results A total of 13 cases of Crohn’s disease were found in 20 patients. Endoscopic findings included mucosal erosions (2 cases), aphthous ulcers (5 cases), granulomatous nodular lesions (1 case), large ulcers (2 cases) and ulcer with incomplete luminal stenosis (3 cases). Conclusions Capsule endoscopy has a high detection rate for suspected small bowel Crohn’s disease that can not be detected by traditional methods, especially for the early stage of disease and the diagnosis of light-weight patients