摘要
目的探讨胶囊内镜检查失败原因及对策,提高胶囊内镜检查的成功率。方法回顾性分析同济医院2008年5月至2012年5月64例胶囊内镜检查病例。结果 64例胶囊内镜检查全小肠完成率为95%。食管扩张术后食管再狭窄胶囊内镜不能通过食管1例(1.5%),胶囊内镜小肠内嵌顿1例(1.5%),胶囊内镜胃内排出延迟10例(15.6%),电池耗竭前胶囊内镜没有通过回盲瓣1例(1.5%),肠道准备不佳致图像紊乱模糊6例(9.4%)。结论术前认真评估,合理选择患者,充分肠道准备,实时监测指导患者,可以提高胶囊内镜检查的成功率和诊断率。
Objective To analyze the reasons for failure in capsule endoscopy and to suggest countermeasures so as to improve the successful rate of the procedure.Methods We made a retrospective analysis on 64 cases of capsule endoscopy in Tongji Hospital from May 2008 to May 2012.Results The completion rate of the small intestines was 95% in 64 cases of capsule endoscopy.The endoscope could not pass through the esophagus of 1 patient（1.5%）due to esophageal restenosis after esophageal dilatation;it was incarcerated in the small intestine of 1 patient（1.5%）;it was retained in the stomach of 10 patients（15.6%）;it could not pass through the ileocecal valve of 1 patient（1.5%）before battery depletion.Besides,image was fuzzy in 6 cases（9.4%）because of poor bowel preparation.Conclusion It is suggested that careful preoperative assessment and reasonable selection of patients,full bowel preparation,real-time monitoring and guidance for patients can improve the successful rate and diagnostic rate of capsule endoscopy.
出处
《华中科技大学学报（医学版）》
CAS
CSCD
北大核心
2012年第5期623-626,共4页
Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
关键词
胶囊内镜
失败原因
对策
capsule endoscopy
reasons for failure
countermeasures
