国产OMOM胶囊内镜对不同小肠疾病应用评价

Evaluation of capsule endoscopy for different diagnosis of small bowel disease

目的探讨OMOM胶囊内镜对不同小肠疾病诊断的诊断价值及安全性。方法 155例患者进行胶囊内镜检查,其中不明原因消化道出血(OGIB)65例,慢性腹痛30例,慢性腹泻25例,慢性腹痛伴腹泻35例,观察运行时间、并发症、病变检出率及病变诊断率。结果 155例患者检查中无不适及明显并发症,检查成功率96.77%,胶囊内镜在胃内运行时间平均为(55.6±44.2)min,在小肠内运行时间平均为(261.5±91.3)min,到达盲肠时间平均为(384±24.2)min。OGIB组病变检出率86.15%,病变诊断率为63.07%。慢性腹痛组病变检出率为60%,病变诊断率为43.3%。慢性腹泻病组变检出率为52%,病变诊断率为40%,慢性腹痛伴腹泻组病变检出率为65.7%,病变诊断率为51.4%。OGIB组病变检出率和病变诊断率明显高于前3组(P<0.05)。结论 OMOM胶囊内镜对小肠病变的检出率和诊断率较高,且安全、方便,尤其对不明原因消化道出血患者。

【Objective】To explore the diagnostic value and the safety of capsule endoscopy different diagnosis of small bowel disease.【Methods】115 cases accepted capsule endoscopy examination. There were 65 cases of obscure gastrointestinal bleeding （OGIB）, 30 cases of chronic abdominal pain, 25 cases of chronic diarrhea, 35cases chronic abdominal pain associated with diarrhea, gastric and small bowel transit time, complication, detection rate and diagnostic yield were valuated. 【Results】155 patients had no discomfortable feeling and complication during the examination, achievement ratio was 96.77%. The capsule endoscopy remained in the stomach for an average of （55.6±44.2） min. The mean transit time in the small bowel was （261.5±91.3） min. The mean time to reach the cecum was （384±24.2） min, the detection rate and diagnostic yield of the OGIB group were （86.15% and 63.07%）, the Chronic abdominal pain group （60% and 43.3%）, the chronic diarrhea group （52% and 40%）, chronic abdominal pain was associated with diarrhea group （65.7% and 51.4%）. The detection rate and diagnostic yield of the OGIB group were significantly higher than the first three （P 0.05）. 【Conclusions】The of OMOM capsule endoscopy is safe and convenient, with high detection rate and diagnostic yield, especially OGIB.