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目的分析胶囊内镜在小肠疾病诊断中的应用价值和安全性。方法 400例接受胶囊内镜检查的患者,对检查结果进行观察分析。结果全部400例患者中,396例患者将胶囊顺利吞下,4例患者在胃镜辅助下将胶囊放置到十二指肠球部。胶囊内镜诊断出血性病变的阳性率为65.0%,诊断慢性腹痛的阳性率为36.8%,诊断慢性腹泻的阳性率为32.0%,诊断腹部不适的阳性率为27.0%,胶囊内镜诊断出血性病变的阳性率显著高于其他病变的阳性率,差异均具有统计学意义(P<0.05)。胶囊内镜的检查时间为(478.5±5.7)min;胶囊排出体外的平均时间为(21.2±2.5)h,全部回收胶囊均没有出现破损,胶囊内镜的拍摄图像清晰,部分图像受到肠液和小肠气泡的影响,图像质量不理想。全部400例患者在胶囊内镜检查时,仅3例患者发生胶囊潴留,其中1例患者需外科手术治疗,1例患者经小肠镜取出,1例患者针对病因治疗后1个月后自行排出,检查顺应性比较理想。结论选择胶囊内镜对小肠疾病进行诊断,具有较高的诊断率,而且胶囊内镜检查无创伤、无痛苦,并发症发生率低,具有较高的安全性,患者容易接受。
Objective To analyze the value and safety of capsule endoscopy in the diagnosis of small intestinal diseases. Methods 400 cases of patients undergoing capsule endoscopy, the inspection results were observed and analyzed. Results Of all 400 patients, 396 patients swallowed the capsule smoothly and 4 patients placed the capsule into the duodenal bulb with the aid of gastroscope. The positive rate of diagnosis of hemorrhagic lesions by capsule endoscopy was 65.0%, the positive rate of diagnosis of chronic abdominal pain was 36.8%, the positive rate of diagnosis of chronic diarrhea was 32.0%, the positive rate of diagnosis of abdominal discomfort was 27.0%, capsule endoscopy diagnosis hemorrhagic The positive rate of lesions was significantly higher than that of other lesions, the differences were statistically significant (P <0.05). The time of capsule endoscopy was (478.5 ± 5.7) min; the average time of capsule excretion was (21.2 ± 2.5) h, and no damage was found in all the capsules recovered. The images taken by the capsule endoscope were clear and some images were affected by intestinal fluid and small intestine Bubble effect, image quality is not satisfactory. All 400 patients in capsule endoscopy, only 3 patients with capsule retention, of which 1 case required surgical treatment, 1 patient was removed by the small bowel mirror, 1 patient for the cause of treatment after 1 month of self-discharge, Check compliance is ideal. Conclusion The diagnosis of small intestine disease by capsule endoscopy is selected with high diagnostic rate. Capsule endoscopy is noninvasive, painless, with low complication rate and high safety. Patients are easy to accept.