86例胶囊内镜检查的应用研究庞红全1王晓2

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1、86例胶囊内镜检查的应用研究庞红全1王晓2庞红全1王晓2(四川省达州市中心医院消化科635000)【摘要】目的：探讨胶囊内镜(Capsuleendoscopy,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

2、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%vs58.9%，P>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)ll-0055-02Clinicalanalysisofcapsuleendoscopyin86casesPANGHong

3、quanl,WANGXiao2(DepartmentofGastroenterology，Dazhoucentralhospital，Sichuanprovince｝【Abstract】Objective:Toinvestigatethediagnosticvalueofcapsuleendoscopy(CE)inpatientswithgastrointestinaldiseasesandtoguidethereasonableapplicationofcapsuleendoscopy.Methods：Theclinicaldataof86patientsunderwentPillCa

4、mSBcapsuleendoscopywithtelephonefollow-upswereretrospectivelyanalyzed-Results：Thereweresignificantdifferencesinthepatientswithabdominalpainbetweentheelderlygroupandthenon-elderlygroup(18.3%vs12.8%，P<0.05);Therewerealsosignificantdifferencesinthepatientswithdiarrheabetweentheelderlygroupandthen

5、on-elderlygroup(26.5%vs51.3%,P<0.01);Thepatientswithweightreductionintheelderlygrouphadsignificantdifferencestothenon-elderlygroup(14.2%vs5.4%,P<O.O5);Theobscuregastrointestinalbleedingpatientsintheelderlygroupwassignificanthigherthannon-elderlygroup.Therateofcompletesmall-bowelexaminationw

6、aslOO%.Thepositivediagnosticsrateofsmallboweldiseaseswasupto57.1%inthepatientswithabdominalpain(8/14)，mostcommonlyinmucosallesions(33.0%);Thepositivediagnosticsrateofsmallboweldiseaseswasupto71.8%inthepatientswithdiarrhea(23/32)，mostcommonlyinmucosallesions(43.4%);Thepositivediagnosticsrateofsmal

7、lboweldiseaseswasuptoll.l%inthepatientswithweightreduction(1/9)，mostcommonlyintumor(100%);Thepositivediagnosticsrateofsmallboweldiseaseswasupto76.0%inthepatientswithobscuregastrointestinalbleeding(19/25),mostcommonlyin