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目的探讨胶囊内镜在消化道,特别是小肠疾病诊断中的应用价值。方法回顾分析该院1 415例胶囊内镜在全消化道的检查结果。结果该组1 415例胶囊内镜检查中,共检出食管、胃、小肠和结肠疾病1 161例/次,其中上消化道病变占39.3%(456/1 161),小肠病变占46.3%(537/1 161),结直肠病变占14.5%(168/1 161)。有31例患者接受胶囊内镜检查后,又接受了单气囊小肠镜检查,胶囊内镜对小肠憩室的检出率明显低于小肠镜,而对其他病变的检出率则与小肠镜相仿。结论胶囊内镜对食管、胃和结肠病变的发现率提高具有互补性;对无症状人群的常规筛查具有很好的应用前景,特别是对小肠疾病的筛查应用更加广泛。
Objective To explore the value of capsule endoscopy in the diagnosis of gastrointestinal diseases, especially small intestine. Methods A retrospective analysis of the hospital 1 415 cases of capsule endoscopy in the digestive tract test results. Results A total of 1 161 esophageal, gastric, small intestine and colon diseases were detected in 1 415 capsule endoscopy in this group, of which, upper gastrointestinal lesions accounted for 39.3% (456/1 161) and small intestinal lesions (46.3%) 537/1 161), colorectal lesions accounted for 14.5% (168/1 161). 31 patients underwent capsule endoscopy and received single-balloon enteroscopy. The detection rate of capsule endoscopy in the small bowel diverticulum was significantly lower than that of the small bowel mirror, while the detection rate of other lesions was similar to that of the small bowel mirror. Conclusion The detection of capsule endoscopy on the detection of esophageal, gastric and colonic lesions are complementary. It has a good prospect of routine screening for asymptomatic people, especially for the screening of small intestinal diseases.