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目的探讨胶囊内镜诊断胃肠道疾病患者的应用价值。方法选取2012年2月至2014年6月于沈阳军区总医院检查的86例疑似胃肠道疾病患者行胶囊内镜检查,记录胶囊内镜在消化道各部位的停留时间以及检测的病灶类型。结果胶囊于胃内停留时间35~332 min,平均(72±5)min,小肠内时间150~630 min,平均(284±5)min;胶囊排出体外时间4 h至6 d,平均为(32.4±1.5)h;检查过程中患者无不适及痛苦主诉,未发现嵌顿及梗阻等并发症;86例患者中发现病变73例,总检出率84.9%(73/86)。结论胶囊内镜对胃肠道疾病特别是对小肠盲区体现出了较好的诊断价值,具有操作简单、安全可靠、患者依从性高等优点。
Objective To explore the value of capsule endoscopy in the diagnosis of gastrointestinal diseases. Methods Eighty-six patients with suspected gastrointestinal diseases examined at General Hospital of Shenyang Military Region between February 2012 and June 2014 were enrolled in this study. Capsule endoscopy was performed to record the residence time of capsule endoscopy in various parts of the digestive tract and the types of lesions detected. RESULTS: The retention time of the capsule in the stomach was 35 ~ 332 min with an average of (72 ± 5) min and an average of (284 ± 5) min in the small intestine within 150 ~ 630 min. The average time of the capsule excreted from 4 h to 6 d was (32.4 ± 1.5) h. During the examination, all patients were free from misdiagnosis and complaints of pain. No complications such as incarceration and obstruction were found. Totally 73 lesions were found in 86 patients, with a total detection rate of 84.9% (73/86). Conclusion Capsule endoscopy shows a good diagnostic value for gastrointestinal diseases, especially for the small intestine blind area, which has the advantages of simple operation, safe and reliable, and high patient compliance.