摘要
目的:探讨在基层医院开展小肠CT序贯联合胶囊内镜(CE)检查对小肠疾病的临床诊断价值与安全性。方法:收治小肠疾病患者119例,均行小肠CT检查及部分序贯联合CE检查,观察病变的检出情况,安全性及耐受性。结果:119例患者中,116例完成小肠CT检查,病因明确,诊断率37.1%(43/116),以小肠肿瘤、克隆恩病最常见。剔除小肠CT提示小肠中重度狭窄的患者,109例患者完成CE检查,未发生胶囊滞留。CE对肠黏膜糜烂、小肠溃疡、血管病变、肠结核及非特异性炎症的诊断率高于小肠CT(P<0.05)。结论:小肠CT序贯联合CE检查应用能提高小肠疾病的病变检出率及病因诊断率,并能相对降低胶囊内镜的滞留率。
Objective:To explore the clinical diagnostic value and safety of small intestine CT sequence combined with capsuleendoscopy in small bowel diseases in primary hospital.Methods:119 patients with small bowel disease were selected,they weregiven small intestine CT sequence combined with capsule endoscopy check,we observed the lesion detection,safety andtolerability.Results:In 119 patients,116 patients underwent CT examination of the small intestine,the diagnosis rate of pathogenywas 37.1%(43/116),small bowel tumors and Crohn's disease were the most common.Patients with moderate and severe stenosis insmall intestine by CT were excluded,109 patients completed CE examination,there was no capsule retention.The diagnostic rate ofCE for intestinal mucosal erosion,ulcer of small intestine,blood vessel disease,intestinal tuberculosis and nonspecificinflammation was higher than that of CT(P<0.05).Conclusion:The application of small intestine CT sequence combined withcapsule endoscopy can improve the detection rate of lesions and etiological diagnosis rate in the small intestine,and can reducethe retention rate of capsule endoscopy.
作者
奚美娟
魏巍
薛振龙
钱胜
Xi Meijuan;Wei Wei;Xue Zhenlong;Qian Sheng(The Traditional Chinese Medicine Hospital of Changshou City,Jiangsu Province 215500)
出处
《中国社区医师》
2015年第36期110-111,共2页
Chinese Community Doctors
关键词
小肠CT
胶囊内镜
序贯
小肠疾病
Small intestine CT
Capsule endoscopy
Sequence
Small bowel disease
