两种不同型号胶囊内镜在小肠检查过程中的对比研究

Comparative study of two types of capsule endoscopy in small bowel examination

目的比较金山OMOM两种不同型号胶囊内镜在全小肠检查率(CER)中的差异及原因分析。方法回顾重庆医科大学附属第二医院2016年1月至2017年10月行胶囊内镜检查的患者,其中Ⅱ型胶囊内镜组82例(对照组),Ⅰ型胶囊内镜组85例(观察组)。比较两组胃转运时间(GTT)、小肠转运时间(SBTT)及CER的差异。结果Ⅰ型胶囊内镜组比Ⅱ型胶囊内镜组具有更高的CER(94.1%vs 84.1%,P=0.047),更短的GTT[(47.3±41.8)min vs(64.8±57.0)min,P=0.024],且工作时间更长,但两组患者SBTT差异无统计学意义(P>0.05)。结论Ⅰ型胶囊内镜通过缩短GTT,延长胶囊内镜工作时间,从而提高全小肠检查率,具有更好的临床应用价值。

Objective To compare the difference of two different types of Jinshan OMOM capsule endoscopy in complete intestinal examination rate(CER)and the reasons analysis.Methods The patients who underwent capsule endoscopic examination were retrospectively studied in the Second Affiliated Hospital of Chongqing Medical University from Jan.2016 to Oct.2017,including 82 patients in typeⅡcapsule endoscopy group(control group)and 85 patients in typeⅠcapsule endoscopy group(observation group).The differences of gastric transit time(GTT),small bowel transit time(SBTT)and CER were compared between the two groups.Results The CER in observation group was higher than that in control group(94.1%vs 84.1%,P=0.047),the GTT in observation group was shorter than that in control group[(47.3±41.8)min vs(64.8±57.0)min,P=0.024],and the working hours were more longer.But there was no significant difference in SBTT between the two groups(P>0.05).Conclusion TypeⅠcapsule endoscopy has better clinical application value by shortening GTT,prolonging working hours and improving CER.