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目的探讨胶囊内镜对小肠疾病的诊断价值及顺应性和安全性。方法分析2009年4月2010年3月对35例疑有小肠疾病者行胶囊内镜检查的临床资料。结果 35例中发现小肠病变26例(74.3%),包括血管畸形9例,间质瘤1例,息肉2例,小溃疡1例,非特异性炎症11例,寄生虫2例,其中4例患者同时存在两种病变。所获取的图像质量良好。胶囊胃内运行平均时间为62min(5～460min),小肠运行时间为347min(103～538min),平均到达盲肠时间为384min(120～540min),平均记录时间为547min(299～605min),平均获取照片数为54 766张,胶囊排出体外时间平均为33h(10～120h)。受检者顺应性良好,无任何并发症发生。结论胶囊内镜是一种对小肠疾病具有较高的检出能力;其安全性高、顺应性好。
Objective To investigate the diagnostic value, compliance and safety of capsule endoscopy for small intestinal diseases. Methods The clinical data of 35 cases of suspected small intestinal diseases underwent capsule endoscopy in April 2009 and March 2010 were analyzed. Results Among the 35 cases, 26 cases (74.3%) of small intestine lesions were found, including 9 cases of vascular malformations, 1 case of stromal tumors, 2 cases of polyps, 1 case of small ulcers, 11 cases of nonspecific inflammation and 2 cases of parasites. There are two types of lesions at the same time. The acquired image is of good quality. The average running time of the capsule in the stomach was 62min (5 ~ 460min), the intestinal transit time was 347min (103 ~ 538min), the average time to reach the cecum was 384min (120 ~ 540min) and the average recording time was 547min (299 ~ 605min) The number of photos is 54 766 sheets, and the average time for excreting the capsules is 33 h (10-120 h). Subjects with good compliance, without any complications. Conclusion Capsule endoscopy is a detection of intestinal diseases with high ability; its high safety, good compliance.