86 例胶囊内镜检查的应用研究.docVIP

精品论文 参考文献 86 例胶囊内镜检查的应用研究 庞红全 王晓（四川省达州市中心医院消化科） 　　【摘要】目的：探讨胶囊内镜(Capsule endoscopy，CE) 在消化道疾病中的诊断价值，便于临床合理应用。方法：回顾性分析86 例CE 检查者的临床资料。结果：老年人CE 检查的受检原因为：便血（32.7％）、腹痛（18.3％）、消瘦（14.2％），而中青年人CE 检查的受检原因则为：腹泻（51.3％），检查的完成率100%，腹痛患者小肠阳性诊断率为57.1％ (8 ／ 14)，以粘膜病变最为常见（33.0%）；腹泻患者小肠阳性诊断率为71.8％ (23 ／ 32)，以粘膜病变最为常见（43.4%）；消瘦患者小肠阳性诊断率为11.1％ (1 ／ 9)，肿瘤最为常见（100%）；不明原因便血患者小肠阳性诊断率为76.0％ (19 ／ 25)，以血管病变最为常见（66.7%）；老年、青中年小肠阳性诊断率比较无显著差异(61.3％vs 58.9％，Pgt;O．05)。所有受检者耐受性良好，胶囊均顺利排出。结论：CE 检查操作简单、安全、有效，对小肠疾病的诊断有重要价值。 　　【关键词】胶囊内镜；临床应用；小肠；阳性诊断率【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）09-0544-03Clinical analysis of capsule endoscopy in 86 casesPANG Hongquan1,WANG Xiao2(Department of Gastroenterology，Dazhou central hospital ，Sichuan province)Abstract：Objective：To investigate the diagnostic value of capsule endoscopy(CE) in patients with gastrointestinal diseases and to guide the reasonableapplication of capsule endoscopy．Methods：The clinical data of 86 patients underwent PillCam SB capsule endoscopy with telephone follow-upswere retrospectively analyzed．Results：There were significant differences in the patients with abdominal pain between the elderly group and the nonelderlygroup (18.3％ vs 12.8％，Plt;0.05); There were also significant differences in the patients with diarrhea between the elderly group and the nonelderlygroup (26.5％ vs 51.3％，Plt;0.01); The patients with weight reduction in the elderly group had significant differences to the non-elderly group(14.2％ vs 5.4％，Plt;0.05); The obscure gastrointestinal bleeding patients in the elderly group was significant higher than non-elderly group. The rate ofcomplete small-bowel examination was100％．The positive diagnostics rate of small bowel diseases was up to 57.1％ in the patients with abdominal pain (8／ 14)，most commonly in mucosal lesions (33.0％ ); The positive diagnostics rate of small bowel diseases was up to 71.8％ in the patients with diarrhea (23／ 32)，most commonly in mucosal lesions (43.4％ ); The positive diagnostics rate of small bowel dis