CAJ | 학술논문

目的评价胶囊内镜对不同消化道症状并疑似小肠疾病患者的应用价值。方法对我院2010年8月至2012年6月期间进行胶囊内镜检查的116例患者的临床资料进行回顾性分析。结果116例患者完成胶囊内镜检查116例，共行116次检查，阳性检出率53.5%（62/116）。共发现小肠病变49例，小肠病变阳性率为42.2%（49/116），其中82例腹痛患者发现小肠病变33例（40.2%），12例腹泻患者发现小肠病变4例（33.3%），17例消化道出血患者发现小肠病变12例（70.6%）。其中炎性病变、隆起性病变最为常见。9例患者胶囊内镜胃内通过迟缓，1例患者胶囊内镜完全停滞于胃内，未至小肠，直至电池耗竭；3例胶囊内镜通过小肠迟缓；胶囊内镜在小肠内运行平均时间为369 min。检查过程中患者无任何不适。结论胶囊内镜对不同消化道症状并疑似小肠疾病的就诊患者均有较好的诊断价值，简单、安全，并发症及风险小，依从性好。检查前充分肠道准备可提高检查质量。
목적평개효낭내경대불동소화도증상병의사소장질병환자적응용개치。방법대아원2010년8월지2012년6월기간진행효낭내경검사적116례환자적림상자료진행회고성분석。결과116례환자완성효낭내경검사116례，공행116차검사，양성검출솔53.5%（62/116）。공발현소장병변49례，소장병변양성솔위42.2%（49/116），기중82례복통환자발현소장병변33례（40.2%），12례복사환자발현소장병변4례（33.3%），17례소화도출혈환자발현소장병변12례（70.6%）。기중염성병변、륭기성병변최위상견。9례환자효낭내경위내통과지완，1례환자효낭내경완전정체우위내，미지소장，직지전지모갈；3례효낭내경통과소장지완；효낭내경재소장내운행평균시간위369 min。검사과정중환자무임하불괄。결론효낭내경대불동소화도증상병의사소장질병적취진환자균유교호적진단개치，간단、안전，병발증급풍험소，의종성호。검사전충분장도준비가제고검사질량。
Objective To evaluate the diagnostic value of capsule enteroscopy in different gastrointesti-nal symptoms and suspected small intestinal diseases. Methods The clinical data of 116 cases for capsule en-teroscopy examination from August 2010 to June 2012 was retrospectively analyzed. Results One hundred and sixteen patients completed capsule enteroscopy examinations. Total detection rate was 53.5% (62/116). And 49 cases of small intestinal lesions were found in 49 cases, with a positive rate of 42.2%(49/116). Thirty three small intestinal lesions were found in 82 patients with abdominal pain (40.2%), 4 small intestinal lesions were found in 12 diarrhea patients (33.3%). 12 small intestinal lesions were found in 17 patients with gastroin-testinal bleeding (70.6%). The inflammatory lesions and protruding lesions were most common. Transit of cap-sule enteroscopy through stomach was delayed in 9 patients, and 1 patient had retention of capsule enteroscopy within the stomach, not reaching the small intestine beforel the battery ran out;capsule enteroscopy through the small intestine was delayed in 3 patients;average examination time in the small intestine was 369 min. No pa-tient reported any discomfort. Conclusion Capsule enteroscopy examination for different gastrointestinal symptoms and suspected small intestinal diseases have a good diagnostic value. It is simple, safe, and good pa-tient compliance.