胶囊内镜在小肠疾病诊断中的应用

目的:探讨胶囊内镜对小肠疾病的诊断价值。方法:总结分析26例疑似小肠疾病患者行M2A胶囊内镜检查的临床资料。结果:26例中发现病变22例,包括小肠息肉7例,克罗恩病5例,血管畸型4例,平滑肌瘤2例,淋巴瘤2例,类癌1例,回肠憩室1例。阳性检出率占84.6%。小肠平滑肌瘤、淋巴瘤及类癌等均经手术病理证实诊断。胶囊内镜检查时间平均为473min(205min—555min),小肠内滞留中位时间240min,平均时间为236min(90min~433min)。结论:胶囊内镜对小肠疾病具有较好的诊断效果,尤其适用于不明原因消化道出血患者的诊断。

Capsule endoscope in the diagnosis of small intestinal diseases

Objective To determine the diagnostic value of capsule endoscope in small intestinal diseases.Method The clinical data of 26 patients suspected of small intestinal disease treated by capsule endoscope with M2A was analyzed.Results 22 of 26 patients(84.6%) found the lesion,including inflammatory small intestinal polyps in 7 cases,Crohn's disease in 5,angiodysplasia in 4,leiomyoma in 2,lymphoma in 2,carcinoid in 1 and ileal diverticulum in 1.The small intestinal leiomyoma, lymphoma,carcinoid and so on were diagnosed by operation.The mean examine time of capsule endoscope was 473min(205～555min),and the medium stagnation time in the small intestine was 240min,the mean time was 236min(90～433min). Conclusion Capsule endoscope has the better diagnosis effect in small intestinal diseases,especially for the patients with obscure bleeding.