【摘要】：目的膠囊內(nèi)鏡檢查實現(xiàn)了直視下全小腸的無痛性檢查,已獲得廣泛的臨床應用。本研究的目的是探討膠囊內(nèi)鏡對小腸疑難疾病的診斷價值。 方法本研究的檢查者均來自浙江大學附屬第-醫(yī)院2006年1月至2012年12月期間的門診或住院患者。243例不明原因腹痛患者,男性136例,女性107例,平均年齡44.1±14.5歲。248例不明原因消化道出血患者,男性127例,女性121例,平均年齡55.9±18.4歲。記錄并分析膠囊內(nèi)鏡檢查中的陽性結果,統(tǒng)計小腸病變的檢出率。 結果不明原因腹痛患者小腸病變診斷陽性率為23.0%,擬診疾病包括克羅恩病(7.8%),小腸炎(6.2%),小腸淋巴管擴張癥(4.5%),小腸鉤蟲病(2.1%),小腸占位病變(1.2%),小腸蛔蟲病(0.8%)以及過敏性紫癜(0.4%)。不明原因消化道出血患者小腸病變診斷陽性率為59.7%,擬診的疾病包括：小腸血管畸形(18.1%)、小腸毛細血管擴張癥(9.3%)、小腸炎癥(10.9%)、克羅恩病(6.0%)、小腸憩室(5.2%)、小腸腫瘤(2.8%)、小腸鉤蟲病(2.8%)、小腸息肉(2.8%)、小腸黃色瘤(0.4%)、小腸淋巴瘤(0.8%)、小腸脂肪瘤(0.8%)。 結論膠囊內(nèi)鏡對于不明原因消化道出血、不明原因腹痛患者有較高的診斷陽性率,可作為臨床診斷的有效檢查手段之一
[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 鹵14.5 years. 248 patients with unexplained gastrointestinal bleeding, 127 males and 121 females, with an average age of 55.9 鹵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.
【學位授予單位】：浙江大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R574.5

【共引文獻】

相關期刊論文 前2條

1 朱文翔;劉原君;程發(fā)峰;李長香;于才;王慶國;王雪茜;;中藥外治法經(jīng)免疫和神經(jīng)調(diào)節(jié)系統(tǒng)治療哮喘的機制探討[J];遼寧中醫(yī)藥大學學報;2015年04期

2 蘇杰文;余婷婷;張紅杰;;老年人小腸出血的臨床診斷與治療[J];實用老年醫(yī)學;2015年03期

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