胶囊内镜在慢性腹痛患者中的应用价值(1)
 |
| 第1页 |
参见附件(1463KB，2页)。
【摘要】 目的 探讨胶囊内镜在慢性腹痛中的诊断价值和安全性。方法 对2008年8月至2009年11月期间不明原因的慢性腹痛患者24例进行胶囊内镜检查,同期12例体检者作为对照组。观察两组患者的小肠运转时间、病变及部位、图像质量及顺应性。结果 所有受检者在胶囊内镜检查过程中无任何不适和并发症,均顺利完成检查,所得图像清晰。胶囊1~3 d自然排出。腹痛组小肠转运时间为(252.69±95.19)min,体检组小肠运转时间为(209.33±34.32)min。其中腹痛组4例胶囊未通过回盲瓣,体检组1例胶囊未通过回盲瓣。检出病变有胃溃疡、小肠炎症、克罗恩病、小肠NSAIDs溃疡、息肉、间质瘤及肠道寄生虫等。结论 胶囊内镜检查无痛苦,成功率高,对病变检出率高,对不明原因慢性腹痛患者有较好的诊断价值。
【关键词】胶囊内镜;慢性腹痛
The Application value of capsule endoscopy in patients with chronic abdominal pain
YAN Cai-wen,BAO Li-xia,LI Xiao-Guang,et al.Department of Gastroenterology,People’s Hospital Changzhi City,Shanxi 046000,China
【Abstract】 Objective To research the diagnosis value and risk of capsule endoscopy in patients with chronic abdominal pain.Methods 24 patients with unexplained chronic abdominal pain from August 2008 to November 2009 were inspected with capsule endoscopy as case group,and 12 physical examination persons as normal controls.Study the running time in small intestine,lesions’ character and location,image quality,and adaptability.Results All the patients had completed the examination and had no discomfort or syndromes.The images were clearly.The capsule endoscopies was discharged during 1 to 3 days.The running time of case group was(252.69±95.19)min,the controls was(209.33±34.32)min.The 4 capsule endoscopies had no arrived ileocecal valves in case group and 1 capsule endoscopy in control group.The lesions were inspected including gastric ulcer,small intestinal inflammation,Crohn’s disease,small intestinal NSAID’s ulcer,polyps,Mesenchymoma,intestinal parasite.Conclusion The characters of capsule endoscopy is no painful,high success rates and high inspective rates,and preferable diagnosis value in patients with chronic abdominal pain.
【Key words】Capsule endoscopy; Chronic abdominal pain
不明原因腹痛是消化道疾病中常见的疑难问题,病因复杂,许多患者通过传统方法(B超、CT、MRI、胃镜、结肠镜和全消化道钡餐检等)仍不能确诊。 我科自2008年8月至2009年11月对不明原因慢性腹痛患者进行了胶囊内镜检查,现报告如下。
1 资料与方法
1.1 临床资料 为我科2008年8月至2009年11月期间住院及门诊患者,腹痛组患者24例,男13例,女11例,年龄(48.42±14.68)岁。患者均为不明原因慢性腹痛,病程6个月~20年,并行胃镜、结肠镜、腹部CT等检查排除了可以解释腹痛的病因,临床表现排除肠梗阻、腹膜炎等。对照组选取同期行胶囊内镜体检者12例,男8例,女4例,年龄(53±5.31)岁。
1.2 方法
1.2.1 仪器 胶囊内镜为以色列GIVEN影像公司生产的M2A型,发射器发射视频图像的频率为2 帧/s,电池工作寿命约为8 h。工作站使用专用处理软件RAPID处理数据。内镜图像由两位具有多年进行消化内镜检查经验的主治资质以上医师共同判读。
1.2.2 检查方法 受检者于检查前禁食8 h,并使用复方聚乙二醇电解质散溶液清洁洗肠,与患者签署知情同意书 ......
您现在查看是摘要介绍页，详见PDF附件(1463KB，2页)。