磁控胶囊胃镜下贲门形态的影响因素初探  

Influencing factors for cardia morphology under magnetically controlled capsule gastroscopy

作　　者：李宁[1] 王艳[1] 高颖新[1] 李佳颐 邓宛青 郝建宇[1] 刘心娟[1] Ning Li;Yan Wang;Yingxin Gao;Jiayi Li;Wanqing Deng;Jianyu Hao;Xinjuan Liu(Department of Gastroenterology,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院消化内科,北京100020

出　　处：《中华消化内镜杂志》2023年第5期354-358,共5页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨磁控胶囊胃镜下贲门形态与受检者临床特征之间的关系。方法纳入2022年8—11月在首都医科大学附属北京朝阳医院消化内科因消化道症状或体检等原因而接受磁控胶囊胃镜检查者216例。所有受检者接受胃食管反流病问卷量表(gastroesophageal reflux disease questionnaire,Gerd-Q)调查,并收集受检者临床资料,记录磁控胶囊胃镜下贲门形态图像,根据贲门不同松弛程度对应的贲门形态将受检者分为4组,比较各组受检者临床特征,分析贲门形态的影响因素。结果非吞咽状态下,贲门持续闭合良好呈梅花状(A组)受检者116例,贲门闭合欠佳呈放射状(B组)受检者33例,贲门略松弛呈线条状(C组)受检者46例,贲门松弛持续开放呈圆洞状(D组)受检者21例。A组、B组、C组和D组受检者年龄分别为35.00(31.00,42.00)岁、53.00(37.50,60.50)岁、61.50(41.50,68.25)岁和52.00(39.00,70.00)岁,差异有统计学意义(H=44.348,P<0.001)。A组、B组、C组和D组受检者Gerd-Q评分分别为1.50(1.00,2.00)分、3.00(2.00,6.50)分、8.00(5.75,9.00)分和8.00(7.50,9.00)分,差异有统计学意义(H=90.788,P<0.001)。A组、B组、C组和D组受检者体质指数分别为22.66(19.53,24.70)kg/m^(2)、23.44(21.41,27.05)kg/m^(2)、23.77(21.19,26.93)kg/m^(2)和23.73(19.63,24.79)kg/m^(2),差异有统计学意义(H=8.114,P=0.044)。贲门松弛程度与受检者年龄(rs=0.456,P<0.001)、Gerd-Q评分(rs=0.648,P<0.001)和体质指数(rs=0.146,P=0.032)呈正相关。结论磁控胶囊胃镜能够很好地观察非吞咽状态下贲门形态,非吞咽状态下磁控胶囊胃镜所见贲门松弛程度与受检者年龄、体质指数以及Gerd-Q评分存在正相关关系。Objective To investigate the relationship between the cardia morphology under magnetically controlled capsule gastroscopy and the clinical characteristics of subjects.Methods A total of 216 subjects with gastrointestinal symptoms or receiving physical examination who underwent magnetically controlled capsule gastroscopy at the Department of Gastroenterology,Beijing Chao-Yang Hospital,Capital Medical University from August 2022 to November 2022 were enrolled.All subjects took gastroesophageal reflux disease questionnaire(Gerd-Q)survey.Clinical data of subjects were collected,and images of cardia morphology under magnetically controlled capsule gastroscopy were recorded.The subjects were divided into 4 groups according to differrent cardia morphology based on the degree of relaxation.The clinical characteristics of each group were compared,and the influencing factors for cardia morphology were analyzed.Results In non-swallowing state,116 subjects showed good continuous closure of the cardia in plum shape(group A),33 subjects radial closure of cardia(group B),46 subjects slightly relaxed linear cardia(group C)and 21 subjects relaxed and continuous opening of cardia in the shape of cave(group D).The ages of subjects in group A,B,C and D were 35.00(31.00,42.00)years,53.00(37.50,60.50)years,61.50(41.50,68.25)years and 52.00(39.00,70.00)years,respectively,with significant differences(H=44.348,P<0.001).The Gerd-Q scores of subjects in group A,B,C and D were 1.50(1.00,2.00),3.00(2.00,6.50),8.00(5.75,9.00)and 8.00(7.50,9.00),respectively,with significant differences(H=90.788,P<0.001).The body mass index(BMI)of subjects in group A,B,C and D were 22.66(19.53,24.70)kg/m^(2),23.44(21.41,27.05)kg/m^(2),23.77(21.19,26.93)kg/m^(2)and 23.73(19.63,24.79)kg/m^(2),respectively,with significant differences(H=8.114,P=0.044).The degree of cardia relaxation was positively correlated with the age(rs=0.456,P<0.001),Gerd-Q score(rs=0.648,P<0.001)and BMI(rs=0.146,P=0.032)of subjects.Conclusion The magnetically controlled capsule gastroscopy

关 键 词：胶囊内窥镜 贲门 影响因素 

分 类 号：R57[医药卫生—消化系统]