中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
6期
1-3
,共3页
江凤翔%杨蒲芳%陈范嵘%朱春燕%朱健焕
江鳳翔%楊蒲芳%陳範嶸%硃春燕%硃健煥
강봉상%양포방%진범영%주춘연%주건환
胶囊内镜%小肠疾病%不明原因的消化道出血%克罗恩病
膠囊內鏡%小腸疾病%不明原因的消化道齣血%剋囉恩病
효낭내경%소장질병%불명원인적소화도출혈%극라은병
Capsule endoscoy%Small bowel disease%Obscure gastrointestinal bleeding%Crohn’s disease
目的：评价胶囊内镜在小肠疾病诊断过程中的诊断价值、安全性、耐受性。方法：自2011年5月至今，笔者所在科应用OMOM胶囊内镜对胃镜肠镜检查阴性的疑似小肠病变患者进行胶囊内镜检查，其中包括不明原因的消化道出血16例。结果：发现病灶者20例，所见病变其中包括小肠血管畸形11例，小肠多发息肉(Peutz-Jeghers综合征)1例，炎症性肠病/克罗恩病3例，NASID相关溃疡1例，小肠局灶隆起2例，小肠绒毛萎缩2例；未见异常7例；未成功2例。胶囊停留于胃内的平均时间为65 min(11 s~420 min)，小肠内平均运行时间为312 min(171~453 min)，平均到达盲肠时间为371 min(210~476 min)，平均记录时间为446 min(390~620 min)，医师对胶囊内镜所传输图像的平均读片时间为96 min(60~120 min)，平均获取照片数为58193张，胶囊平均排出体外时间为46 h(24~120 h)。所获取的图像质量良好。整个操作过程患者耐受性甚佳，无任何痛苦，吞咽胶囊无任何困难，检测过程中无任何严重并发症发生。结论：胶囊内镜虽然存在无法取病理等一定的不足之处，但因其高效安全、无痛苦，在小肠疾病尤其是不明原因消化道出血疾病诊断中仍有独特的优势。
目的：評價膠囊內鏡在小腸疾病診斷過程中的診斷價值、安全性、耐受性。方法：自2011年5月至今，筆者所在科應用OMOM膠囊內鏡對胃鏡腸鏡檢查陰性的疑似小腸病變患者進行膠囊內鏡檢查，其中包括不明原因的消化道齣血16例。結果：髮現病竈者20例，所見病變其中包括小腸血管畸形11例，小腸多髮息肉(Peutz-Jeghers綜閤徵)1例，炎癥性腸病/剋囉恩病3例，NASID相關潰瘍1例，小腸跼竈隆起2例，小腸絨毛萎縮2例；未見異常7例；未成功2例。膠囊停留于胃內的平均時間為65 min(11 s~420 min)，小腸內平均運行時間為312 min(171~453 min)，平均到達盲腸時間為371 min(210~476 min)，平均記錄時間為446 min(390~620 min)，醫師對膠囊內鏡所傳輸圖像的平均讀片時間為96 min(60~120 min)，平均穫取照片數為58193張，膠囊平均排齣體外時間為46 h(24~120 h)。所穫取的圖像質量良好。整箇操作過程患者耐受性甚佳，無任何痛苦，吞嚥膠囊無任何睏難，檢測過程中無任何嚴重併髮癥髮生。結論：膠囊內鏡雖然存在無法取病理等一定的不足之處，但因其高效安全、無痛苦，在小腸疾病尤其是不明原因消化道齣血疾病診斷中仍有獨特的優勢。
목적：평개효낭내경재소장질병진단과정중적진단개치、안전성、내수성。방법：자2011년5월지금，필자소재과응용OMOM효낭내경대위경장경검사음성적의사소장병변환자진행효낭내경검사，기중포괄불명원인적소화도출혈16례。결과：발현병조자20례，소견병변기중포괄소장혈관기형11례，소장다발식육(Peutz-Jeghers종합정)1례，염증성장병/극라은병3례，NASID상관궤양1례，소장국조륭기2례，소장융모위축2례；미견이상7례；미성공2례。효낭정류우위내적평균시간위65 min(11 s~420 min)，소장내평균운행시간위312 min(171~453 min)，평균도체맹장시간위371 min(210~476 min)，평균기록시간위446 min(390~620 min)，의사대효낭내경소전수도상적평균독편시간위96 min(60~120 min)，평균획취조편수위58193장，효낭평균배출체외시간위46 h(24~120 h)。소획취적도상질량량호。정개조작과정환자내수성심가，무임하통고，탄인효낭무임하곤난，검측과정중무임하엄중병발증발생。결론：효낭내경수연존재무법취병리등일정적불족지처，단인기고효안전、무통고，재소장질병우기시불명원인소화도출혈질병진단중잉유독특적우세。
Objective:To evaluate the diagnostic value,security and patients’ tolerance of capsule endoscopy in the diagnosis of small bowel disease process.Method:From may 2010 to now,gastroendoscopy and colonoscopy examination negative patients who were suspected with small bowel diseases accept capsule endoscopy examination,in them 16 patients with obscure gastrointestinal bleeding.Result:20 patients were positive with lesions,including 11 with intestinal vascular malformation,1 with Peutz-Jeghers syndrome,3 with Crohn’s disease,1 with NASID related ulcers,2 with intestinal local uplift lesions, 2 with small intestinal villus atrophy.7 patients were negative.2 patients were not successful to complete examination.The average time of capsule kept staying in stomach was 65 min(11 s-420 min).The average time capsule went through the small intestine was 312 min(171-453 min),the average time capsule reached the cecum was 371 min(210-476 min),the average whole time was 446 min(390-620 min),the average time doctor reading medical image was 96 min(60-120 min), the mean photos number was 58 193,the average time capsule excreted out was 46 h(24-120 h).The good image quality was obtained.In the whole process,the tolerance of patients was good,no pain,swallowing capsules without any difficulty,no serious complication occurred during examination.Conclusion:Authough capsule endoscopy has some shortcomings such as pathological tissues can not be got,because of its high safety,no pain,it still has its unique advantages in diagnosis of small intestinal diseases,especially in obscure gastrointestinal bleeding.
