国产OMOM胶囊内镜对消化道疾病的诊断价值

Diagnostic Value of OMOM capsule Endoscopy in Gastrointestinal Diseases

目的探讨国产OMOM胶囊内镜在消化道疾病,特别是小肠疾病中的诊断价值。方法总结分析我院2008年1月至2009年5月应用国产OMOM胶囊内镜检查59例患者,所有患者均经胃镜、结肠镜、腹部彩超等检查未发现可解释疾病的原因,其中出血组13例,腹痛组46例。采用甘露醇行肠道准备。结果59例中检查出小肠疾病26例。OMOM胶囊内镜性能稳定,图像清晰,摄像胶囊所携带的电池一般能满足对全小肠的观察。胶囊内镜在胃内通过时间9min～149min,胃内平均滞留时间44min,小肠通过时间83min～398min,小肠平均通过时间195min。有3例胶囊滞瘤体内,未出现其他不良反应。结论国产OMOM胶囊内镜对小肠疾病的诊断阳性率高,安全无痛苦,具有较好的临床诊断价值,尤其适用于不明原因消化道出血的患者。

Objective To assess the OMOM capsule endoscopy in the diagnosis of gastrointestinal disease,especially in the small intestine disease.Methods 59 patients in our hospital received examination of OMOM capsule endoscopy from 2008.1 to 2009.5.All patients had been checked by gastroscopy and colonoscopy,and the results were negative.In the 59 patients,13 of them were obscure gastrointestinal bleeding and 46 were abdominal pain diarrhea.Results 26 of the 59 patients were diagnosed gastrointestinal lesion that can accout for the cause of the disease by OMOM capsule endoscopy,the lesion accounting for bleending all located in small intestine.OMOM capsule endoscopy exhibited steady performance and clear images.Nobody felt uncomfor or had complications during the processes.The electric power in OMOM capsule generally satisfied the need for observing the whole length of small intestine.The capsules stayed in stomach during 9～149 min,stayed in small intestine during 83～398 min.All of the capsules were discharged successfully in three days except three capsule were blocked in cabined.Conclusion OMOM capsule endoscopy with its high diagnostic rates and safty may be a good method in the diagnosis of gastrointestinal diseases,especially in the patiens with obscure gastrointestinal bleeding.