磁控胶囊内镜的疾病筛查应用

Application of disease screening with magnetically controlled capsule endoscopy

摘要:

目的 探讨磁控胶囊内镜在体检中上消化道疾病筛查中的应用价值。方法 收集2015 年3 月 -2016 年12 月在河北省人民医院体检中心进行磁控胶囊内镜检查的体检者61 例，检查完毕后，记录检查时 间、胃各部位观察完全度、检查者胃部充盈度及清洁度，比较磁控胶囊内镜与胃镜检查的一致性。结果 61 例体检者平均年龄（49.4±11.6）岁。所有检查者无恶心、呕吐、呛咳、出血、穿孔和胶囊滞留消化道等不 良反应发生。胃部充盈度有效率为98.4%，清洁度的有效率为68.9%。磁控胶囊内镜与胃镜检查结果的符合率 为89.9%（80/89），磁控胶囊内镜对于食管和贲门病变的检查符合率为78.9%（15/19），胃部病变的检查符合率 为92.9%（52/56），十二指肠病变诊断率符合率为92.9%（13/14），食管贲门与胃部的诊断符合率差异无统计学 意义（P =0.090）。结论 磁控胶囊内镜应用于上消化道的检查安全、有效，病变检出率可与胃镜相似。

Abstract:

Objective To study the clinical value of magnetically controlled capsule endoscopy in diseases screening. Method We retrospectively analyzed 61 cases which were evaluated by magnetically controlled capsule endoscopy from March 2015 to December 2016. The items include operating time, the divergence rate score and cleanliness score of stomach. The consistency was compared between magnetically controlled capsule endoscopy and gastric duodenal endoscopy. Results 61 upper gastrointestinal tract studies were included. The mean age was (49.4 ± 11.6) years. No capsule retention, perforation or bleeding occurred. There was 98.4% patients, which cleanliness of stomach was good. There was 68.9% patients, which filling degree of stomach was good. The concordance rate of the two tests of gastrduodenoscopy and magnetically controlled capsule endoscopy was 89.9% (80/89). The concordance rate of the two tests was 78.9% (15/19) in esophageal and cardia, 92.9% (52/56) in stomach, 92.9% (13/14) in duodenum. Conclusion Our experience shows that magnetically controlled capsule endoscopy is a safe and useful tool for the diagnosis of upper gastrointestinal tract disease. The detection rate is similar to gastrduodenoscopy.