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)o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-0055-02Clinicalanalysisofcapsuleendoscopyin86casesPANGHongquanl,WANGXiao2(DepartmentofGastroenterology,Dazhoucentralhospital,Sichuanprovince)【Abstract[Objective：ToinvestigatethediagnoSticvalueofcapsuleendoscopy(CE)inpatientswithgastrointestinaldiseasesandtoguidethereasonableapplicationofcapsuleendoscopy.Methods：Theclinicaldataof86patientsunderwentPillCamSBcapsuleendoscopywithtelephonefollow-upswereretrospectivelyanalyzed-Results：Thereweresignificantdifferencesinthepatientswithabdominalpainbetweentheelderlygroupandthenon-elderlygroup(18.3%vs12.8%,P<0.05);Therewerealsosignificantdifferencesinthepatientswithdiarrheabetweentheelderlygroupandthenon-elderlygroup(26.5%vs51.3%,P<0.01);Thepatientswithweightreductionintheelderlygrouphadsign讦icantdifferencestothenorvelderlygroup(14.2%vs5.4%、P<0.05);Theobscuregastrointestinalbleedingpatientsintheelderlygroupwassignificanthigherthannon-elderlygroup.Therateofcompletesmall-bowelexaminationwaslOO%•Thepositivediagnostiesrateofsmallboweldiseaseswasupto57.1%inthepatientswithabdominalpain(8/14),mostcommonlyinmucosallesions(33.0%);Thepositivediagnosticsrateofsmallboweldiseaseswasupto71.8%inthepatientswithdiarrhea(23/32),mostcommonlyinmucosallesions(43.4%);Thepositivediagnostiesrateofsmallboweldiseaseswasuptoll.l%\nthepatientswithweightreduction(1/9),mostcommonlyintumor(100%);Thepositivediagnostiesrateofsmallboweldiseaseswasupto76・0%inthepatientswithobscuregastrointestinalbleeding(19/25),mostcommonlyinVascularlesions(66.7%);Therewerenosignificantdifferencesinthediagnosticsrateofsmallboweldiseasesamongtheelderlygroup,thenon-elderlygroup(61.3%vs58.9%,P>O・05).Allpatientswerewelltoleratedandthecapsuleandsuccessfullydischarged.Conclusion：Themanipulationofcapsuleendoscopyissimple,safeandeffectiveandithasimportantvalueinthediagnosisofsmallintestinaldiseases.[Keywords]capsuleendoscopy(CE)；clinicalapplication；smallintestine；positivediagnostiesrate自消化道胃肠镜问世以来，食管、胃和结肠疾病的诊疗方面有了突飞猛进的发展，但是由于小肠细长达约3・35〜7・85m,远离口腔和肛门，又游走于腹腔形成多发复合肠襌⑴使小肠镜、小肠顿餐、血管造影或核素扫描等传统检查方法难以奏效，存在诊断阳性率低、患者痛苦或伴并发症等问题，胶囊内镜(Capsuleendoscopy,CE)的问世与应用，被誉为消化内镜的一大革命，以其无痛苦，安全，无创等优点，为胃肠道检查，尤其是小肠检查提供新的诊断手段。本文将以色列GIVEN公司生产的PillCamSBCE成功完成的86例小肠检查病历进行冋顾分析总结报道如下。1资料与方法1.1临床资料将于2011年10月・2013年4月于达州市中...