OMOM胶囊内镜在小肠疾病诊断中的价值

OMOM capsule endoscopy in the diagnosis of small intestine diseases

目的:探讨OMOM胶囊内镜在小肠病变诊断中的价值。方法:将90例接受胶囊内镜检查的患者按照临床表现分为A组(无症状体检组)6例、B组(不明原因的腹痛、腹泻)53例、C组(不明原因消化道出血)31例,总结分析其临床资料。结果:胶囊内镜检查无不适和并发症;86例患者完成检查,其中A组5例,B组51例,C组30例;90例患者中共发现小肠病变58例,小肠疾病总阳性检出率为64.4%,B组和C组的阳性率分别为64.7%(33/51)和83.3%(25/30)。结论:胶囊内镜检查操作简单、安全,且无创伤,对不明原因腹痛、腹泻及不明原因的消化道出血具有较高的诊断价值,可作为小肠疾病的首选检查方法。

Objective：To assess the value of OMOM capsule endoscopy in the diagnosis of small intestine diseases. Methods：Ninety patients who would receive capsule endoscopy were divided into group A（health check volunteers,n=6）,group B（with unexplained abdominal pain or diarrhea,n=53）and group C（with obscure gastrointestina1 bleeding,n=31）. The capsule endoscopy data of those patients were collected and analyzed. Results：No complaints or complications were observed during the tests;86 patients underwent the capsule endoscopy successfully;58 cases of small intestinal lesions were found in the 90 cases;the total positive rate of capsule endoscopywas64.4%（58/90）;thepositiveratesofgroupBandgroupCwere64.7%（33/52）and83.3%（25/30）,respectively. Conclusions：The OMOM capsule endoscopy has the advantages of simple operation,high safety and no lesion. It is of great value in diagnosis of unexplained abdominal pain, diarrhea and obscure gastrointestinal bleeding, and can be the first choice for diagnosis of small intestinal diseases.