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目的了解胶囊内镜在健康体检者中的临床应用价值。方法对2008年10月至2010年12月间在我科行胶囊内镜检查的54例健康体检者检查结果进行回顾性分析。结果在完成的54例检查者中。检查成功率为100%.共检出9种病变17例,未见异常37例。阳性检出率31%。检出的病变包括反流性食管炎1例、胃窦糜烂3例、胃息肉1例,十二指肠球炎2例、黄色瘤2例;小肠炎3例,小肠息肉2例,小肠憩室1例,结肠多发性息肉2例。不需医疗干预者占3例;需随访监测、必要时进行其他检查或医疗干预者5例;需要进行药物干预治疗并随访者9例。结论胶囊内镜是一种方便、无创、无痛苦的检查方法,对于体检人群消化道疾病,尤其是小肠疾病的筛查提供有效手段。
Objective To understand the clinical value of capsule endoscopy in healthy physical examination. Methods A retrospective analysis was performed on the results of 54 cases of physical examinations conducted by our department from October 2008 to December 2010 in our department. The result was in 54 completed examiners. The successful rate was 100%, 17 of 9 lesions were detected, and no abnormality was found in 37. Positive detection rate of 31%. The detected lesions included reflux esophagitis in 1 case, gastric antrum erosion in 3 cases, gastric polyps in 1 case, duodenal inflammation in 2 cases, xanthoma in 2 cases, small bowel inflammation in 3 cases, intestinal polyps in 2 cases, intestinal diverticula 1 case, multiple colon polyps in 2 cases. No medical interventions accounted for 3 cases; need to follow-up monitoring, if necessary, other tests or medical intervention in 5 cases; need for drug intervention and follow-up in 9 cases. Conclusions Capsule endoscopy is a convenient, noninvasive and painless examination method, which provides an effective means for the screening of digestive diseases, especially the small intestine diseases.