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目的 评估胶囊内镜在小肠疾病诊断中的应用价值。方法 对经胃镜、全结肠镜、小肠镜、全消化道钡餐检查、腹部血管造影等检查无阳性发现的23例病变疑在小肠的患者,应用胶囊内镜进行小肠检查,评估胶囊内镜检查在小肠疾病诊断中的应用价值。结果 23例患者进行了24次胶囊内镜检查,1例因胶囊内镜滞留在食管下段而进行第2次检查,检查过程中患者无任何不适。23例中20例发现病变,病变检出率为86.8％,其中4例存在2种病变。小肠炎症性疾病10例,血管病变9例,黏膜下结节2例,憩室2例,间质细胞瘤1例。19次胶囊内镜向前摄影,4次向后摄影。17例通过回盲瓣进入盲肠(73.9％)。结论 胶囊内镜小肠黏膜摄影图像清晰,检查安全方便,病变检出率高,有很好的临床应用价值。
Objective To evaluate the value of capsule endoscopy in the diagnosis of small intestinal diseases. Methods Twenty-three patients suspected of being in the small intestine without gastroscopy, colonoscopy, enteroscopy, total digestive tract barium meal examination, and abdominal angiography were enrolled in this study. Small intestine examination was performed by capsule endoscopy to evaluate the effect of capsule endoscopy on The value of small bowel disease diagnosis. Results Twenty-three patients underwent 24 capsule endoscopy and one underwent secondary examination due to capsule endoscopy in the lower esophagus. The patient was free from any discomfort during the procedure. In 23 cases, 20 cases were found lesions, the detection rate of lesions was 86.8%, of which 4 cases there were two kinds of lesions. 10 cases of inflammatory bowel disease, vascular disease in 9 cases, 2 cases of submucosal nodules, diverticulum in 2 cases, 1 case of stromal cell tumor. 19 capsule endoscopic forward photography, 4 backwards photography. Seventeen patients entered the cecum through the ileocecal valve (73.9%). Conclusion capsule endoscopic small intestinal mucosa photography clear, safe and convenient examination, the detection rate of lesions is high, has a good clinical value.