小肠疾病疑似患者OMOM胶囊内镜检查结果分析  

Clinical analysis of OMOM capsule endoscopy in 115 cases

作　　者：袁聪[1] 廖娟[1] 

机构地区：[1]川北医学院附属医院消化内科,四川南充637000

出　　处：《实用医药杂志》2015年第3期207-209,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨胶囊内镜(capsule endoscope,CE)在小肠疾病中的诊断价值。方法 115例小肠疾病疑似患者行OMOM胶囊内镜检查,其中不明原因消化道出血(OGIB)组57例、腹痛组17例、腹泻组15例,腹痛伴腹泻组11例、腹痛伴腹胀组10例,其他症状5例。观察病变检出阳性率及并发症,然后对所得结果进行回顾性分析。结果病变总阳性率为75.7%,其中OGIB阳性率为87.7%,常见病变为炎性病变、血管病变、小肠肿瘤、克罗恩病(CD)及息肉等。3例发生小肠滞留,均经腹腔镜取出,术后诊断为小肠肿瘤及CD。结论胶囊内镜对小肠病变的阳性检出率较高、可靠、方便,可作为小肠疾病特别是OGIB的有效检查方法。Objective To explore the significance of OMOM capsule endoscope（CE） in patients with small intestinal diseases. Methods Total 115 cases with suspected small intestinal diseases （57 cases were of obscure gastrointestinal bleeding （OGIB）,17 had abdominal pain,15 had diarrhea,11 suffered abdominal pain plus diarrhea,10 had abdominal pain plus distention,and 5 suffered other symptoms） received OMOM capsule endoscopy,and the achived findings were analyzed retrospectively. Results The total positive rate of detected intestinal lesions was 75.7%,and the rate in OGIB cases was 87.7%. Among the positive cases,the small intestinal lesions included inflammation,vascular abnormality,neoplasm,Crohn＇s disease and polyps;3 cases were diagnosed as neoplasm and Crohn＇s disease after laparoscopic operation for intestinal retention. Conclusion Capsule endoscope has such advantages as simple operation and higher safety. In small intestinal diseases,capsule endoscope could provide a high diagnostic yield,especially in the cases with OGIB.

关 键 词：OMOM胶囊内镜 小肠疾病 

分 类 号：R574.5[医药卫生—消化系统]