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目的探讨胶囊内镜在诊断小肠肿瘤中的作用及对其治疗的价值。方法收集2006年10月至2011年12月因疑似小肠疾病而行胶囊内镜检查者共773例,对其中疑诊小肠肿瘤者作进一步检查,根据内镜和手术病理结果明确诊断。结果共确诊小肠肿瘤21例,其中男14例、女7例,平均年龄(53.9±15.7)岁,检出率为2.7%。临床表现为不明原因消化道出血(OGIB)19例、腹痛原因待查2例。4例小肠肿瘤患者检查时胶囊滞留于小肠病变部位。19例患者行外科手术治疗,2例患者行全身化疗。平均随访时间5～32(19±14)个月,2例患者在随访至5个月和17个月因肿瘤全身转移而死亡。结论胶囊内镜检查是疑诊小肠肿瘤患者有效的检查手段,利于小肠肿瘤早期诊治,改善预后。
Objective To explore the role of capsule endoscopy in the diagnosis of small intestinal tumors and its value of treatment. Methods A total of 773 cases of suspected small bowel diseases were collected from October 2006 to December 2011 due to suspected small bowel diseases. The patients with suspected small bowel tumors were further examined, and the diagnosis was confirmed according to endoscopic and surgical pathological findings. Results A total of 21 small bowel tumors were diagnosed, including 14 males and 7 females, with an average age of 53.9 ± 15.7 years and a detection rate of 2.7%. Clinical manifestations of unexplained gastrointestinal bleeding (OGIB) in 19 cases, abdominal pain to be investigated in 2 cases. 4 cases of small bowel cancer patients in the inspection of the lesion in the small bowel lesions. Nineteen patients underwent surgical treatment and two received systemic chemotherapy. The average follow-up time ranged from 5 to 32 (19 ± 14) months. Two patients died of tumor metastasis at 5 months and 17 months after follow-up. Conclusion Capsule endoscopy is an effective means of examination in patients with suspected small intestinal tumors, which is conducive to early diagnosis and treatment of small intestinal tumors and improve prognosis.