OMOM胶囊内镜对小肠疾病的诊断价值  

The Value of OMOM Capsule Endoscopy in Small Bowel Diseases

作　　者：王鵷臻 黄睿[1] 杨少奇[1] 何芳[1] 

机构地区：[1]宁夏医科大学总医院消化内科,银川750004

出　　处：《宁夏医科大学学报》2017年第11期1281-1285,共5页Journal of Ningxia Medical University

基　　金：宁夏医科大学校级课题(XQ201333)

摘　　要：目的探讨OMOM胶囊式内窥镜系统对小肠疾病的诊断价值,便于临床合理应用。方法回顾性分析2009年9月-2016年12月在宁夏医科大学总医院消化内科行OMOM胶囊内镜检查的86例患者的临床资料,并根据患者的不同症状、年龄等进行分组,分别对比不同组别间小肠疾病的检出率。结果 86例患者共发现病变81例,病变总检出率为94.2%,小肠疾病病变检出率79.1%。不明原因消化道出血(OGIB)组小肠病变检出率为91.2%,最常见的病变为小肠血管畸形;腹痛组小肠病变检出率为71.2%,以小肠炎最为多见;胶囊内镜对OGIB组患者的小肠病变检出率高于腹痛组患者(P<0.05);老年和中青年患者小肠疾病检出率差异无统计学意义(P=0.271),胶囊内镜检查出血停止2周内与2周以上患者小肠疾病检出率差异无统计学意义(P>0.05);肠道准备时肌注甲氧氯普胺(胃复安)可以促进胶囊通过幽门(P=0.028)。结论 OMOM胶囊内镜检查安全、有效,对小肠疾病有良好的诊断价值,尤其适用于不明原因消化道出血的患者。Objective To investigate the diagnostic value of OMOM capsule endoscopy in patients with small intestinal diseases,and guide the reasonable application of capsule endoscopy.Methods The OMOM capsule endoscopy was used in 86 patients from Sep.2009 to Dec.2016.Diagnoses by OMOM capsule endoscopy were recorded and compared statistically.The clinical data were retrospectively analyzed.Patients were divided into groups according to different symptoms and ages separately,then the detection of small bowel disease was compared among the segroups.Results Of the 86 patients,81 were found to have lesions with a detection rate of 94.2%,68 were found to have intestinal lesions with a detection rate of 79.1%.The positive detection rate of small bowel diseases was up to 91.2% in the patients with obscure gas-trointestinal bleeding,most commonly in vascular malformation.71.2% for abdominal pain group with inflammation of the small intestine was frequent seen,and significant difference wasfound between 2 groups（P〈0.05）.There were no significant differences in the detection rate of small bowel diseases among the elderly group and the middle-aged group（P=0.271）.However,no significant difference was found between the detecting rates of those with their bleeding stopped less than 2 weeks and those having their bleeding stopped longer than 2 weeks（P〉0.05）.Metoclopramide（intramuscular injection）did not exert effect on the small bowel transit time,but it reduced the gastrictransittime of the capsule.Conclusion The manipulation of capsule endoscopy is effective,safe.And it is of important value in the diagnosis of small intestinal diseases,especially for obscure gastrointestinal bleeding.

关 键 词：OMOM胶囊内镜 小肠疾病 临床应用 

分 类 号：R574.5[医药卫生—消化系统]