论文部分内容阅读
目的探讨胶囊内镜对小肠钩虫病的诊断价值。方法回顾性分析四川大学华西医院2006年6月-2012年6月收治的55例经胶囊内镜确诊的小肠钩虫病患者的临床资料和胶囊内镜图像,进行统计学分析。结果 55例患者中消化道出血者40例,不明原因缺铁性贫血者7例,慢性腹痛者6例,腹胀不适等症状者2例;2例粪便虫卵阳性,6例嗜酸粒细胞百分比增高;46例大便隐血阳性;44例贫血,其中重度贫血11例,中度贫血26例,轻度贫血7例。所有患者均经胶囊内镜明确诊断为钩虫感染,镜下可见虫体半透明,吸血后充血呈红色线状,长度约5～10 mm。多数为散发寄生,12例钩虫聚集成团。钩虫多寄生于上段小肠,6例寄生于下段小肠。部分患者尚可见虫体周围黏膜损伤、糜烂。结论胶囊内镜对小肠钩虫病的诊断效果较好、安全性较高。
Objective To investigate the diagnostic value of capsule endoscopy on small bowel hookworm disease. Methods The clinical data and capsule endoscopy images of 55 patients with enterocolitis confirmed by capsule endoscopy in Huaxi Hospital of Sichuan University from June 2006 to June 2012 were retrospectively analyzed. Results In 55 patients, there were 40 cases of gastrointestinal bleeding, 7 cases of unexplained iron deficiency anemia, 6 cases of chronic abdominal pain, 2 cases of abdominal distension and other symptoms; 2 cases of stool egg positive, 6 cases of eosinophil percentage 46 cases of fecal occult blood positive; 44 cases of anemia, including 11 cases of severe anemia, 26 cases of moderate anemia, mild anemia in 7 cases. All patients were diagnosed by capsule endoscopy as hookworm infection, microscopic parasite visible translucent, bloodshot red bloodletting after a length of about 5 ~ 10mm. The majority were parasitic parasites, and 12 hookworms clustered into clusters. Hookworm more parasites in the upper intestine, 6 parasites in the lower intestine. Some patients are still visible parasites mucosal damage, erosion. Conclusion capsule endoscopy on the diagnosis of intestinal hookworm better, more secure.