OMOM胶囊内镜检查99例分析  

An analysis of 99 cases underwent OMOM capsule endoscopy

作　　者：陆华美[1] 袁志萍 蔡菁 LU Huamei;YUAN Zhiping;CAI Jing(Department of Gastroenterology,Affiliated Wujin Hospital,Jiangsu University,Changzhou 213002,CHINA)

机构地区：[1]江苏大学附属武进医院(徐州医科大学武进临床学院)消化内科,江苏常州213002

出　　处：《江苏医药》2021年第12期1270-1273,F0002,共5页Jiangsu Medical Journal

摘　　要：目的探讨OMOM胶囊内镜(CE)检查对小肠疾病的诊断价值和安全性。方法回顾性分析行CE检查99例患者的临床资料,探讨CE检查对小肠疾病的检出价值及安全性。结果99例患者均在胶囊运行时间内完成全小肠检查。CE胃通过时间为34.0(15.0,68.0)min,小肠通过时间为(266.7±145.7)min。CE检出的主要病变为非特异炎症、淋巴管扩张、小肠息肉、溃疡、肿瘤和克罗恩病。CE的小肠病变总检出率为74.7%(74/99);其中,不明原因消化道出血(OGIB)患者的小肠病变检出率为91.5%(43/47),腹痛患者病变检出率为58.8%(20/34),腹泻患者病变检出率为61.1%(11/18)。CE对OGIB病变检出率高于腹痛与腹泻患者(P<0.05)。99例患者中有2例出现胶囊滞留,未出现其他相关并发症。结论CE诊断小肠疾病具有患者耐受好和并发症发生率低的优点,是一种有效和安全的小肠疾病检查方法。Objective To explore the diagnostic value and safety of OMOM capsule endoscopy.(CE),for the diagnosis of small intestine diseases.Methods The clinical data of 99 patients underwent CE examination were retrospectively analyzed.The diagnostic value and safety of CE in the diagnosis of small intestine diseases were evaluated.Results All 99 patients completed the whole small intestine examination within the capsule running time.The gastric passing time was 34.0(15.0,68.0)minutes and the intestinal passing time was(266.7±145.7)minutes.The main lesions detected by CE were nonspecific inflammation,lymphangioectasis,small intestinal polyps,ulcer,tumor and Crohn's disease.The overall detection rate of small intestinal lesions was 74.7%(74/99).The detection rate of small intestinal lesions in the patients with obscure gastrointestinal bleeding was 91.5%(43/47),which was 58.8%(20/34)in the patients with abdominal pain and 61.1%(11/18)in the patients with diarrhea.The detection rate of small intestinal lesions in the patients with obscure gastrointestinal bleeding was significantly higher than that in the patients with abdominal pain or diarrhea(P<0.05).Capsule retention occurred in 2 of 99 patients and no other relevant complications were found.Conclusion CE is an effective and safe method for the diagnosis of small intestinal diseases,which has the advantages of well tolerated and low incidence of complications.

关 键 词：胶囊内镜 小肠疾病 

分 类 号：R574[医药卫生—消化系统]