胶囊内镜在慢性腹痛患者中的应用

发布时间：2019-06-19 16:32

【摘要】：目的慢性腹痛是临床上患者就诊的常见主诉,然而经过胃镜、结肠镜、腹部B超及常规化验等检查,仍有相当多的患者腹痛的原因不明。胶囊内镜是一种可以观察整个小肠的无创检查。该研究的目的在于评价胶囊内镜在慢性腹痛患者的诊断价值。方法回顾分析2008年6月-2014年3月175例在该院进行胶囊内镜检查的慢性腹痛患者。结果 175例患者中,37例患者通过胶囊内镜检查最终明确了诊断,其中,钩虫病1例,小肠炎16例,小肠淋巴管扩张12例,小肠占位性病变5例,克罗恩病3例。5例患者存在胶囊内镜通过小肠时间异常,2例患者胶囊内镜检查过程中滞留于胃内,未完成小肠检查。结论胶囊内镜是诊断慢性腹痛的一种有效工具,特别适合经胃镜、大肠镜检查诊断为功能性胃肠病,但治疗效果不佳的患者。
[Abstract]:Objective Chronic abdominal pain is a common complaint in clinical patients. However, there are still a large number of patients with abdominal pain due to the examination of gastroscope, colonoscope, abdominal B-ultrasonic and routine test. Capsule endoscopy is a non-invasive examination of the entire small intestine. The purpose of this study is to evaluate the diagnostic value of capsule endoscopy in patients with chronic abdominal pain. Methods A retrospective analysis of 175 patients with chronic abdominal pain with capsule endoscopy was performed in the hospital from June 2008 to March 175,2014. Results Among the 175 patients,37 patients were diagnosed by capsule endoscopy, including 1 case of hookworm,16 cases of small enteritis,12 cases of lymphatic expansion of small intestine and 5 cases of small intestinal occupying lesion. There were 3 cases of Crohn's disease. In 5 patients, the capsule endoscopy was abnormal by the time of the small intestine, and in 2 patients, the capsule was retained in the stomach during the endoscopy, and the small intestine examination was not completed. Conclusion Capsule endoscopy is an effective tool for diagnosing chronic abdominal pain. It is especially suitable for the diagnosis of functional gastroenteropathy by gastroscopy and colonoscopy.
【作者单位】：广州军区广州总医院消化内科;
【分类号】：R57

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