58例OMOM胶囊内镜对不明原因消化道出血的临床分析  

Clinical application of OMOM capsule endoscopy in 58 obscure gastrointestinal bleeding patients

作　　者：梅玫[1] 罗雁[1] 陆伟[2] 刘会领[1] 

机构地区：[1]天津市海河医院,300192 [2]天津市第一中心医院消化科,300192

出　　处：《辽宁医学杂志》2016年第2期28-31,F0003,共5页Medical Journal of Liaoning

摘　　要：目的探讨OMOM.胶囊内镜(CE)对不明原因消化道出血(OGIB)的诊断价值。方法分析58例OGIB患者CE胃内运行时间、小肠运行时间及OGIB的病变检出率、诊断率及病因分类。结果检查过程中无明显不适及并发症,全小肠检查成功率57/58(98.3%),CE在胃内运行时间平均为(30.9±16.5)min,在小肠内运行时间平均为(252.4±83.5)min,总病变检出率为53/58(91.4%),诊断率为41/58(70.7%),其中显性出血组病变检出率30/31(96.8%),诊断率为23/31(74.2%),隐形出血组病变检出率23/27(85.2%),诊断率为18/27(66.7%),后两组检出率及诊断率比较无明显差异(P>0.05)。血管病变是OGIB的主要病因,其次是非特异性小肠炎、小肠占位、NSAID相关性肠炎、Crohn病等。结论 CE对OGIB诊断率高、安全、无创伤,可作为OGIB的常规检查手段。Objective To explore the evaluation of OMOM capsule endoscopy in the diagnosis of the small- bowel bleeding disease. Methods 58 patients with unclear digestive tract hemorrhage in our hospital received examination of OMOM capsule endoscopy. Gastric and small bowel transit time,complication,detection rate,diagnostic yield and hemorrhage etiology were valuated. Results 58 patients had no discomfortable feeling and complication during the examination,and achievement ratio was 57 /58（ 98. 3%）. The capsule endoscopy remained in the stomach for an average of（ 30. 9 ± 16. 5） min. The mean transit time in the small bowel was（ 252. 4 ± 83. 5） min. The detection rate and diagnostic rate of all patients were 53 /58（ 91. 4%）,and 41 /58（ 70. 7%）,revealed bleeding group 30 /31（ 96. 8%） and 23 /31（ 74. 2%）,occult bleeding group 23 /27（ 85. 2%） and 18 /27（ 66. 7%） respectively. The detection rate and diagnostic yield between the two later groups had no significant difference（ P〉 0. 05）. Main causes of OGIB were intestinal vascular disease,nonspecific inflammatory disease,tumor,NSAID associated enteritis and Crohn disease. Conclusion OMOM capsule endoscopy has high diagnostic rate in obscure small- bowel bleeding disease and it is safe and atraumatic. It can be used routinely in finding small intestinal disease.

关 键 词：胶囊内镜 不明原因消化道出血 诊断 

分 类 号：R57[医药卫生—消化系统]