可分离式系线磁控胶囊内镜在高原地区食管疾病中的临床应用研究

Clinical application of detachable string magnetically controlled capsule endoscopy for esophageal diseases in plateau area

摘要:

探讨可分离式系线磁控胶囊内镜（detachable string magnetically controlled capsule endoscopy，ds‑MCE）在高原地区食管疾病诊断中的价值。回顾2024年1月至2024年6月在青海省心脑血管病专科医院45例采用ds‑MCE检查患者的临床资料，探讨ds‑MCE的应用特点及优势。结果显示，患者均顺利完成ds‑MCE检查，得到确诊者30例（66.67%，30/45），包括食管炎28例（93.33%）、食管溃疡8例（26.67%）、食管静脉曲张8例（26.67%）、食管裂孔疝5例（16.67%）、食管息肉3例（10.00%）、贲门失弛缓症1例（3.33%）、食管乳头瘤1例（3.33%）、食管下段及贲门癌1例（3.33%）。与传统内镜和胶囊内镜相比，ds‑MCE具有无须麻醉、安全性高的优势，为高原地区食管疾病患者提供了全新且重要的诊断方式。

Abstract:

To explore the diagnostic value of detachable string magnetically controlled capsule gastroscope (ds‑MCE) for esophageal diseases in plateau area, clinical data of 45 patients who underwent ds‑MCE at Qinghai Special Hospital of Cardio‑Cerebrovascular Diseases from January 2024 to June 2024 were retrospectively analyzed to explore the application characteristics and advantages of ds‑MCE. The results showed that ds‑MCE examination was successfully completed in all 45 patients. Diagnosis was confirmed in 30 cases (66.67%, 30/45) including 28 cases (93.33%) of esophagitis, 8 cases (26.67%) of esophageal ulcer, 8 cases (26.67%) of esophageal varices, 5 cases (16.67%) of hiatal herniawere, 3 cases (10.00%) of esophageal polyp, 1 case (3.33%) of achalasia, 1 case (3.33%) of esophageal papilloma, and 1 case (3.33%) of lower esophageal and cardiac carcinoma. Compared with traditional endoscopy and capsule endoscopy, ds‑MCE has the advantages of no need for anesthesia and high safety, which provides a new and important diagnostic option for esophageal diseases in plateau area.