OMOM胶囊内镜临床应用的初步评价

目的探讨0MOM胶囊内镜系统的性能及在临床应用中的价值。方法总结分析65例OMOM胶囊内镜检查的临床资料。结果在疑有消化道疾病的65例患者检查中，l例在胶囊有效时间未能通过幽门，总结其余64例患者，共检出病变47例，包括小肠炎2l例(其中克鲁恩病3例)，胃及小肠息肉8例(其中1例Peutz-Jeghers综合征)，血管粗大或畸形9例，回肠憩室3例，钩虫症3例，小肠黏膜下占位3例(其中1例手术及病理证实为平滑肌肉瘤)。未见异常17例。阳性检出率为73．4％。胶囊检查时间平均为473min(360～630min)，排出时间平均为1723min(690～2370min)。结论OMOM胶囊内镜对于小肠病变的检出率较高，对于不明原因的消化道出血患者可作为常规检查手段。

The clinical evaluation of OMOM capsule endoscopy

Objective To determine the function and clinical significance of OMOM capsule endos-copy. Methods To review the history and outcomes of 65 patients underwent capsule endoscopy from Oct. to Dec. 2004. Results OMOM capsule endoscopy failed to pass the pylorus within the effective working time in one case. The significant pathological findings were revealed in 47 patients among 64 patients (73. 4% ). Inflammatory small bowel diseases in 21 patients including Crohn's disease in 3 patients, small intestinal pol-yps in 8 patients including one Peutz-Jeghers syndrome, angiodysplasia in 9, diverticula in 3, hookworm in 3, submucosal tumor in 3 including one myosarcoma finally diagnosed by operation. OMOM capsule endosco-pies have working time 473 min (360-630) averagely. The duration from oral to anus was 1723 min (690-2370 min) averagely. Conclusion The capsule endoscopy is a highly useful technique in detecting small in-testinal diseases. It can be recommended as part of the routine work-up in patients with obscure bleeding.