胶囊内镜在小肠疾病诊断的临床应用

【】　目的　探讨胶囊内镜对小肠疾病的诊断价值及顺应性和安全性。　方法　分析2009年4月-2010年3月对35例疑有小肠疾病者行胶囊内镜检查的临床资料。　结果　35例中发现小肠病变26例（74.3%），包括血管畸形9例，间质瘤1例，息肉2例，小溃疡1例，非特异性炎症11例，寄生虫2例，其中4例患者同时存在两种病变。所获取的图像质量良好。胶囊胃内运行平均时间为62min（5～460min），小肠运行时间为347min（103～538min），平均到达盲肠时间为384min（120～540min），平均记录时间为547min（299～605min），平均获取照片数为54766张，胶囊排出体外时间平均为33h（10～120h）。受检者顺应性良好，无任何并发症发生。　结论　胶囊内镜是一种对小肠疾病具有较高的检出能力；其安全性高、顺应性好。？【Abstract】　Objective　Toinvestigatethediagnosticvalueofcapsuleendoscopeforsmallintestinediseases,andtoevaluatethecomplianceandsecurityofcapsuleendoscopy.　Methods　Theclinicaldataof35patientswhounderwentcapsuleendoscopyduetosmallboweldiseasesbetweenApril2009andMarch2010wereretrospectivelyanalyzed.　Results　Inthe35patients,26(74.3%)hadintestinediseasesincludingvascularmalformationinnine,interstitialomainone,polypintwo,aphthainone,non-specificinflammationin11andparasiteintwo;4patientshadtwolesionssimultaneously.Thequalityoftheobtainedimageswasgood.Theaveragerunningtimeofthecapsulesinthestomachrangedfromfiveto460minuteswithanaveragetimeof62minutes.Therunningtimeofthecapsulesinthesmallintestinerangedfrom103to538minuteswithanaverageof347minutes.Therunningtimeofthecapsulesarrivingatthececumrangedfrom103to538minuteswithanaverageof347minutes.Thetimeofthecapsulesegestedoutrangedfrom10to120hourswithanaverageof33hours.Therecordingtimerangedfrom299to605minuetswithanaverageof547minutes.Themeanacquiredimageswere54766pieces,Thepatientshadgoodcompliance,andnonehadanycomplications.　Conclusion　Thecapsuleendoscopyhadhighsecurityandgoodcompliance.Ithashighdetectivityindiagnosingsmallintestinediseases.？