胶囊内镜对小肠疑难疾病的诊断价值

发布时间：2019-05-24 20:28

【摘要】：目的胶囊内镜检查实现了直视下全小肠的无痛性检查,已获得广泛的临床应用。本研究的目的是探讨胶囊内镜对小肠疑难疾病的诊断价值。方法本研究的检查者均来自浙江大学附属第-医院2006年1月至2012年12月期间的门诊或住院患者。243例不明原因腹痛患者,男性136例,女性107例,平均年龄44.1±14.5岁。248例不明原因消化道出血患者,男性127例,女性121例,平均年龄55.9±18.4岁。记录并分析胶囊内镜检查中的阳性结果,统计小肠病变的检出率。结果不明原因腹痛患者小肠病变诊断阳性率为23.0%,拟诊疾病包括克罗恩病(7.8%),小肠炎(6.2%),小肠淋巴管扩张症(4.5%),小肠钩虫病(2.1%),小肠占位病变(1.2%),小肠蛔虫病(0.8%)以及过敏性紫癜(0.4%)。不明原因消化道出血患者小肠病变诊断阳性率为59.7%,拟诊的疾病包括：小肠血管畸形(18.1%)、小肠毛细血管扩张症(9.3%)、小肠炎症(10.9%)、克罗恩病(6.0%)、小肠憩室(5.2%)、小肠肿瘤(2.8%)、小肠钩虫病(2.8%)、小肠息肉(2.8%)、小肠黄色瘤(0.4%)、小肠淋巴瘤(0.8%)、小肠脂肪瘤(0.8%)。结论胶囊内镜对于不明原因消化道出血、不明原因腹痛患者有较高的诊断阳性率,可作为临床诊断的有效检查手段之一
[Abstract]:Objective capsule endoscopy has realized painless examination of whole small intestine under direct vision and has been widely used in clinic. The purpose of this study was to explore the diagnostic value of capsule endoscopy in difficult diseases of small intestine. Methods all the examiners in this study were from outpatients or inpatients from January 2006 to December 2012 in the affiliated Hospital of Zhejiang University. 243 patients with unexplained abdominal pain, 136 males and 107 females, were enrolled in this study. The average age was 44.1 卤14.5 years. 248 patients with unexplained gastrointestinal bleeding, 127 males and 121 females, with an average age of 55.9 卤18.4 years. The positive results of capsule endoscopy were recorded and analyzed, and the detection rate of small intestinal lesions was counted. Results the positive rate of diagnosis of small intestinal lesions in patients with unexplained abdominal pain was 23.0%. The suspected diseases included Crohn's disease (7.8%), enteritis (6.2%) and small intestinal lymphangiectasis (4.5%). Small intestinal hookworm disease (2.1%), small intestinal space occupying lesion (1.2%), small intestinal Ascaris lumbricoides (0.8%) and Henoch-Schonlein purpura (0.4%). The positive rate of diagnosis of small intestinal lesions in patients with unexplained gastrointestinal bleeding was 59.7%. The diseases to be diagnosed included small intestinal vascular malformation (18.1%), small intestinal telangiectasia (9.3%) and small intestinal inflammation (10.9%). Crohn's disease (6.0%), small intestinal diverticulum (5.2%), small intestinal tumor (2.8%), small intestinal hookworm disease (2.8%), intestinal polyp (2.8%), small intestinal xanthoma (0.4%). Small intestinal lymphoma (0.8%), small intestinal lipoma (0.8%). Conclusion capsule endoscopy has a high positive rate in the diagnosis of unexplained gastrointestinal bleeding and unexplained abdominal pain, and can be used as one of the effective methods for clinical diagnosis.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R574.5

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