CAJ | 학술논문

目的：探讨胶囊内镜对小肠重度钩虫病的检查指征及诊断价值。方法回顾分析四川大学华西医院2006年6月－2013年10月通过胶囊内镜诊断的17例小肠钩虫重度感染患者，进行统计学分析。结果17例患者都有反复消化道出血和中重度贫血，粪检3例虫卵阳性，3例嗜酸粒细胞百分比增高。所有患者均经胶囊内镜明确诊断为重度钩虫感染，镜下可见多条白色透明或暗红色线状寄生虫广泛分布于小肠肠腔内，以空肠段为主，部分钩虫聚集成团，多条虫体头端钩附与小肠粘膜，造成黏膜广泛损伤、糜烂和出血。结论尽管胶囊内镜是诊断小肠钩虫病的的最佳检查手段，但因检查费用高昂，应严格掌握检查指征。
목적：탐토효낭내경대소장중도구충병적검사지정급진단개치。방법회고분석사천대학화서의원2006년6월－2013년10월통과효낭내경진단적17례소장구충중도감염환자，진행통계학분석。결과17례환자도유반복소화도출혈화중중도빈혈，분검3례충란양성，3례기산립세포백분비증고。소유환자균경효낭내경명학진단위중도구충감염，경하가견다조백색투명혹암홍색선상기생충엄범분포우소장장강내，이공장단위주，부분구충취집성단，다조충체두단구부여소장점막，조성점막엄범손상、미란화출혈。결론진관효낭내경시진단소장구충병적적최가검사수단，단인검사비용고앙，응엄격장악검사지정。
Objective To appraise the diagnostic value and examination indication of capsule endoscopy for small in-testine heavy ancylostomiasis.Methods A retrospective study was carried out to analyze the clinical data and image from capsule endoscope in 17 patients with small intestine heavy ancylostomiasis in the hospital from June 2006 to Oc-tober 2013.Results All patients were diagnosed by capsule endoscopy.Of these patients,all manifested as recurrent gastrointestinal bleeding,had heavy iron deficiency anemia.Hookworm eggs were found in stool specimens of 3 cases, only 3 cases showed peripheral eosinophilia.The hookworms were hoar or kermesinus,and about 5-10 mm in length, mainly located in jejunum.Some gathered into a mass and hooked the intestinal wall,caused erosion and injury of intes-tinal mucosa.Conclusion Though capsule endoscopy is the best diagnostic technique for intestinal ancylostomiasis,the indication should be strictly controlled due to the expensive fees.