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[目的]研究和探讨OMOM胶囊内镜在消化道疾病中的诊断价值,便于更好的临床应用。[方法]回顾性分析2008年5月~2013年4月在宁波市第一医院接受胶囊内镜检查的275例病例资料。[结果]老年组以不明原因消化道出血为检查原因的比例明显高于中青年组,中青年组以腹痛腹泻为检查原因的比例明显高于老年组。不明原因消化道出血的小肠疾病检出率为76.66%,主要疾病为小肠血管病变(47.83%)、小肠黏膜炎症(37.68%)以及小肠息肉、黏膜隆起等其他病变(14.49%)。腹痛腹泻的主要疾病为小肠黏膜炎性病变(63.49%),小肠息肉等其他病变(20.63%)以及小肠血管病变(15.87%)。贫血的小肠疾病检出率为43.75%,主要疾病为小肠血管病变(57.14%)、小肠黏膜炎症(43.75%)以及小肠息肉等其他病变(28.57%),其中有2例钩虫病导致贫血。所有受检者耐受良好,胶囊均顺利排出。[结论]胶囊内镜检查操作简单、安全、无创,对小肠疾病诊断特别是不明原因消化道出血的诊断有重要意义。
[Objective] To study and explore the diagnostic value of OMOM capsule endoscopy in gastrointestinal diseases for better clinical application. [Methods] A retrospective analysis of 275 cases of capsule endoscopy in Ningbo No.1 Hospital from May 2008 to April 2013 was retrospectively analyzed. [Results] The proportion of elderly patients who had gastrointestinal bleeding with unknown causes was significantly higher than that of middle-aged patients. The proportion of middle-aged patients with abdominal pain and diarrhea was significantly higher than that of elderly patients. The incidence of intestinal diseases caused by unknown causes of gastrointestinal bleeding was 76.66%. The main diseases were small bowel vasculopathy (47.83%), small intestinal mucosal inflammation (37.68%), other intestinal lesions such as intestinal polyps and mucosal uplift (14.49%). The main diseases of abdominal pain and diarrhea were small intestinal mucosal inflammatory lesions (63.49%), small intestine polyps and other lesions (20.63%), and intestinal vascular lesions (15.87%). The prevalence of anemia was 43.75%. The main diseases were small bowel vasculopathy (57.14%), small intestinal mucosal inflammation (43.75%) and other small intestinal polyps (28.57%). Of the 2 cases, hookworm disease caused anemia. All subjects were well tolerated and the capsules were well drained. [Conclusion] Capsule endoscopy is simple, safe and noninvasive. It is of great significance for the diagnosis of small intestine disease, especially for the diagnosis of gastrointestinal bleeding of unknown origin.