中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
Chinese Journal of Digestive Endoscopy
2015年
7期
448-451
,共4页
钱雨婷%褚晔%钟捷%吴晟%王立夫
錢雨婷%褚曄%鐘捷%吳晟%王立伕
전우정%저엽%종첩%오성%왕립부
胶囊内镜%小肠疾病%未成年人%应用价值
膠囊內鏡%小腸疾病%未成年人%應用價值
효낭내경%소장질병%미성년인%응용개치
Capsule endoscopy%Small bowel diseases%Minors%Clinical value
目的 探讨胶囊内镜在未成年人小肠疾病中的应用价值.方法 回顾性分析2007年2月至2014年4月期间,应用胶囊内镜进行小肠检查的61例未成年患者的临床资料,评估其对小肠病变的检出率及其安全性.结果 61例患者中,除3例因胶囊胃内潴留而宣告检查失败以外,58例完成检查.其中41例小肠发现阳性病灶(检出率70.69％),包括小肠血管畸形、克罗恩病、麦克尔憩室、溃疡、P-J综合征、隆起性病灶及小肠炎等.最终确诊29例(确诊率50.00％),误诊3例(5.17％),漏诊1例(1.72％).22例除胶囊内镜外,还进行了其他小肠相关检查进行比较,最终胶囊内镜确诊率达81.82％.所有患者顺利吞下胶囊,且胶囊均顺利排出体外,未出现胶囊滞留、肠梗阻等并发症.结论 胶囊内镜作为一种安全、诊断率高、耐受性良好的内窥镜检查方法,在未成年人小肠疾病的诊断中具有较高的应用价值.
目的 探討膠囊內鏡在未成年人小腸疾病中的應用價值.方法 迴顧性分析2007年2月至2014年4月期間,應用膠囊內鏡進行小腸檢查的61例未成年患者的臨床資料,評估其對小腸病變的檢齣率及其安全性.結果 61例患者中,除3例因膠囊胃內潴留而宣告檢查失敗以外,58例完成檢查.其中41例小腸髮現暘性病竈(檢齣率70.69％),包括小腸血管畸形、剋囉恩病、麥剋爾憩室、潰瘍、P-J綜閤徵、隆起性病竈及小腸炎等.最終確診29例(確診率50.00％),誤診3例(5.17％),漏診1例(1.72％).22例除膠囊內鏡外,還進行瞭其他小腸相關檢查進行比較,最終膠囊內鏡確診率達81.82％.所有患者順利吞下膠囊,且膠囊均順利排齣體外,未齣現膠囊滯留、腸梗阻等併髮癥.結論 膠囊內鏡作為一種安全、診斷率高、耐受性良好的內窺鏡檢查方法,在未成年人小腸疾病的診斷中具有較高的應用價值.
목적 탐토효낭내경재미성년인소장질병중적응용개치.방법 회고성분석2007년2월지2014년4월기간,응용효낭내경진행소장검사적61례미성년환자적림상자료,평고기대소장병변적검출솔급기안전성.결과 61례환자중,제3례인효낭위내저류이선고검사실패이외,58례완성검사.기중41례소장발현양성병조(검출솔70.69％),포괄소장혈관기형、극라은병、맥극이게실、궤양、P-J종합정、륭기성병조급소장염등.최종학진29례(학진솔50.00％),오진3례(5.17％),루진1례(1.72％).22례제효낭내경외,환진행료기타소장상관검사진행비교,최종효낭내경학진솔체81.82％.소유환자순리탄하효낭,차효낭균순리배출체외,미출현효낭체류、장경조등병발증.결론 효낭내경작위일충안전、진단솔고、내수성량호적내규경검사방법,재미성년인소장질병적진단중구유교고적응용개치.
Objective To study the clinical value of capsule endoscopy for small bowel diseases in pediatric and adolescent patients.Methods Clinical data of 61 pediatric and adolescent patients who underwent capsule endoscopy from February 2007 to April 2014 was respectively analyzed.The positive diagnostic results and safety were observed.Results Of 61 patients,the CE procedures were completed successfully in 58 patients,and failed in 3 patients because of the gastric stasis.Forty-one positive lesions were found in small intestine,and the detection rate was 70.69％.Positive findings included angiodysplasias,Crohn' s disease,Meckel diverticula,ulcer,P-J syndrome,protrusion lesion and enteritis,etc.Finally,29 patients were confirmed (50％),3 (5.17％) were misdiagnosed and 1 (1.72％) was missed.Twenty-two patients underwent other small bowel examinations besides the capsule endoscopy.And the accuracy of capsule endoscopy was 81.82％.All capsules were successfully swallowed by the patients and evacuated within two weeks.No complications such as capsule retention or intestinal obstruction occurred.Conclusion Capsule endoscopy is a safe and well tolerated procedure with high diagnostic rate,which has a prospective clinical value in small bowel diseases in pediatric and adolescent patients.
