行胶囊内镜检查67 例患者临床结果分析

目的:评价胶囊内镜在小肠疾病中的诊断价值,总结胶囊内镜临床应用策略。方法:回顾性分析上海市第一人民医院胃肠镜室2009年7月-2011年4月67例行胶囊内镜检查患者的检查结果,结合其中32名患者双气囊小肠镜检查结果及手术病理,分析胶囊内镜在小肠疾病的检出率,诊断率和不良事件发生率,总结胶囊内镜检查时的注意事项。结果:1例胶囊内镜操作失败,66例受检者检出率80.3%,诊断率为66.7%,发现病变中血管病变为主要诊断,占62.1%,其次为肠道占位(息肉、肿瘤)为14.6%,克罗恩病占10.9%,所有患者均未出现严重不良事件。结论:胶囊内镜在小肠疾病检查中安全,无创,诊断率较高,临床胶囊内镜检查时建议充分肠道准备,实时监控及结合双气囊小肠镜检查。

Analysis of Clinical Results from 67 Patients Underwent Capsule Endoscopy

Objective: To evaluate the value of capsule endoscopy in diagnosis of small bowel diseases and discuss the most appropriate strategy in its clinical practice.Methods: Data from 67 patients underwent capsule endoscopy from July 2009 to April 2011 in our Department of Gastroenterology were reviewed retrospectively,and then compared with results of 32 patients underwent double-balloon enteroscopy and pathology,to survey the detection rate,diagnostic rate of CE,summarize the lessons for its clinical practice.Results: One case fail,results of 66 cases underwent CE successfully and the detection rate and diagnostic rate of CE respectively was 80.3% and 66.7% respectively,The most common findings included angiodysplasia(62.1%),neoplasia(14.6%) and Crohn’s disease(10.9%);No serious complication happened in this procedure.Conclusion: Capsule endoscopy is a safe and effective in diagnosis for patients.And maybe accuracy will be a greatly improved in diagnosis of intestinal diseases,if procedure was effectively combined with double-balloon enteroscopy,real time monitoring,and sufficiently small bowel preparation.