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目的探讨胶囊内镜在小肠钩虫病诊断中的价值。方法回顾分析昆明医科大学第一附属医院2010年8月至2015年12月通过胶囊内镜诊断的10例小肠钩虫病患者的临床资料,对其临床症状、实验室检查和影像学检查、胶囊内镜图像进行分析。结果 6例患者以腹痛为主要临床表现,2例患者解暗红色血便,1例黑便,1例患者以纳差消瘦为主要临床表现。4例患者外周血嗜酸性粒细胞百分比升高,4例患者大便潜血阳性,均未检出虫卵。所有患者通过胃镜、肠镜、腹部B超、CT、口服法小肠造影均未检出钩虫。10例均经胶囊内镜确诊为钩虫感染,其中,5例患者虫体寄生于空肠,5例患者空肠及回肠均有寄生。结论胶囊内镜诊断小肠钩虫病准确率高,除不明原因的消化道出血外,胶囊内镜检查对钩虫病引起的腹痛、腹部不适等症状,亦有其独到的诊断价值,且可对钩虫在小肠内的分布情况及生活习性的观察提供参考。
Objective To investigate the value of capsule endoscopy in the diagnosis of intestinal hookworm disease. Methods The clinical data of 10 cases of enterocolitis with small bowel disease diagnosed by capsule endoscopy from August 2010 to December 2015 in First Affiliated Hospital of Kunming Medical University were retrospectively analyzed. The clinical symptoms, laboratory and imaging examination, Endoscopic image analysis. Results The main clinical manifestations were abdominal pain in 6 cases, dark red bloody stool in 2 cases, melena stools in 1 case, and nausea and wasting in 1 patient. 4 cases of patients with peripheral blood eosinophil percentage increased, 4 patients positive fecal occult blood, were not detected eggs. All patients through gastroscopy, colonoscopy, abdominal B ultrasound, CT, oral small intestinal angiography were not detected hookworm. 10 cases were confirmed by capsule endoscopy as hookworm infection, of which 5 parasites in the jejunum parasites, 5 patients have jejunum and ileum parasitic. Conclusion Capsule endoscopy diagnosis of intestinal hookworm disease with high accuracy, in addition to unknown causes of gastrointestinal bleeding, capsule endoscopy on hookworm disease caused by abdominal pain, abdominal discomfort and other symptoms, but also has its unique diagnostic value, and can be Hookworm in the small intestine and the distribution of living habits to provide a reference.