中国实用儿科杂志

中国实用儿科杂志 ›› 2011, Vol. 26 ›› Issue (9): 679-.

• 论著 • 上一篇    下一篇

胶囊内镜对儿童小肠疾病诊断价值研究

  

  1. 福建医科大学附属漳州市医院  a 儿科  b 消化内科，福建漳州　363000
  • 出版日期:2011-09-06 发布日期:2011-10-12

Value of wireless capsule endoscopy in diagnosis of small bowel disease in children.

  1. Zhangzhou Municipal Hospital Affiliated to Fujian Medical University，Zhangzhou 363000，China
  • Online:2011-09-06 Published:2011-10-12

摘要：

摘要：目的　评价胶囊内镜检查在儿科应用的有效性和安全性。方法　对2007年9月至2010年12月福建医科大学附属漳州市医院28例临床疑诊小肠疾病的患儿进行胶囊内镜检查。观察胶囊内镜通过胃的平均时间、通过小肠的平均时间、成功率和失败率、小肠病变检出率及患儿的耐受性和并发症。结果　28例患儿均成功吞服胶囊内镜并完整排出，检查过程患儿耐受良好。胶囊内镜通过胃的时间20～280 min（中位数64 min），通过小肠的时间93～380 min（中位数255 min），检出病变20例（20/28，71.43%）。结论　对疑诊小肠疾病，胶囊内镜检查是的一种有效和安全的方法。

关键词: 胶囊内镜, 小肠疾病, 儿童

Abstract:

Abstract：Objective　To evaluate the safety and effectiveness of capsule endoscopy in children with suspicious small bowel diseases. Methods　Twenty-eight children with suspicious small bowel disorders were referred to our study from Sep. 2007 to Dec. 2010 in Zhangzhou Municipal Hospital Affiliated to Fujian Medical University. The average time of capsule passing through the stomach and the small intestine，the tolerance to and complication of capsule endoscopy in patients，the success rate and the diagnostic accordance rate were observed and recorded. Results　All the patients could easily swallow the capsule and had good tolerance，and no capsule retention occurred during the study.The median time of capsule passing through the stomach and small intestine was 64 min（ranging from 20 to 280 min） and 255 min（ranging from 93 to 380 min），respectively. The detective yield of capsule endoscopy was 71.43%（20/28）. Conclusion　Capsule endoscopy is a safe and useful tool in diagnosis of small bowel diseases in pediatrics.

Key words: capsule endoscopy, intestinal diseases, children