OMOM胶囊内镜在老年人消化道疾病诊断中的应用  

The evaluation of OMOM capsule endoscopy in diagnosis of gastrointestinal disease in elderly patients

作　　者：胡洁琼[1] 徐颖[2] 楼春福[2] 

机构地区：[1]宁波市第一医院内科,315010 [2]宁波市第一医院消化内科,315010

出　　处：《中国医师进修杂志》2014年第25期22-23,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨OMOM胶囊内镜在老年人消化道疾病诊断中的应用价值。方法回顾性分析2008年5月至2013年4月接受OMOM胶囊内镜检查并完成的86例老年消化道疾病患者的临床资料。结果所有老年受检者耐受良好，胶囊均顺利排出，胃内平均停留时间50．64min，小肠平均运转时间315．86min。86例中共有38例获得阳性诊断（44．19％，38/86），其中45例因不明原因消化道出血检查者28例获得阳性诊断（62．22％，28，45）；28例因腹痛、腹泻检查者5例获得阳性诊断（17．86％，5，28）；9例因贫血检查者5例获得阳性诊断；4例因其他原因检查者均未获得阳性诊断。结论OMOM胶囊内镜检查操作简单、安全、无创，老年人的耐受性佳，不明原因消化道出血是其主要检查原因，且有较高的诊断率。Objective To explore the value of OMOM capsule endoscopy in the diagnosis of gastrointestinal diseases in the elderly patients. Methods A retrospective analysis of the clinical data on 86 elderly patients completed OMOM capsule endoscopy during May 2008 to April 2013 were performed. Results All the patients were well tolerated, and capsules were successfully excreted. The mean detention time in gastrointestinal was 50.64 rain,the mean run time was 315.86 rain. Thirty-eight （44.19% ,38/86） patients gained positive diagnosis. In 45 patients with unknown reason, 28 patients （62.22%, 28/45 ） gained positive diagnosis. In 28 patients with abdominal pain and diarrhea, 5 patients gained positive diagnosis. In 4 patients with other reason, no patients gained positive diagnosis. Conclusions The manipulation of OMOM capsule endoscopy is simple,safe and effective. And the elderly patients can tolerate well. Obscure gastrointestinal bleeding is the main reason to check, and has a higher diagnostic yield.

关 键 词：胶囊内镜 老年人 消化道疾病 

分 类 号：R57[医药卫生—消化系统]