国产OMOM胶囊内镜对323例不明原因消化道出血的诊断价值

目的探讨国产OMOM胶囊内镜对不明原因消化道出血患者的诊断价值及安全性。方法 2005年10月至2011年9月,应用国产OMOM胶囊内镜对328例不明原因消化道出血患者进行检查,对诊断结果进行相关统计学分析。结果共323例患者检查成功,病变检出率为76.16%(246/323),病因诊断率为56.04%(181/323)。其中,最常见的是占位性病变51例(15.79%),血管性病变45例(13.93%),非特异性炎症39例(12.07%),溃疡性病变34例(10.53%);其次为钩虫病19例(5.88%),息肉19例(5.88%),活动性出血17例(5.26%),憩室8例(2.48%),淋巴组织增生7例(2.17%),克罗恩病5例(1.55%),肠结核2例(0.62%)。结论国产OMOM胶囊内镜对不明原因消化道出血有良好的诊断价值,临床安全性好。

Diagnostic value of OMOM capsule endoscopy in 323 patients with obscure gastrointestinal bleeding

Objective To evaluate the diagnostic value and safety of OMOM capsule endoscopy in patients with obscure gastrointestinal bleeding.Methods From Oct.2005 to Sep.2011,OMOM capsule endoscopy was used to examine 328 patients with obscure gastrointestinal bleeding.The diagnostic results by OMOM capsule endoscopy were recorded and statistically analyzed.Results A total of 323 patients successfully completed the examination.The overall detection rate was 76.16%(246/323),and the etiological diagnostic accuracy was 56.04%(181/323).The most common findings included 51 cases of space occupying lesions(15.79%),45 cases of vascular lesions(13.93%),39 cases of non-specific inflammation(12.07%) and 34 cases of ulcer(10.53%).Other findings included 19 cases of ancylostomiasis(5.88%),19 cases of polyp(5.88%),17 cases of active bleeding(5.26%),8 cases of diverticulum(2.48%),7 cases of lymphoid hyperplasia(2.17%),5 cases of Crohn disease(1.55%),and 2 cases of intestinal tuberculosis(0.62%).Conclusion OMOM capsule endoscopy is safe and valuable in the diagnosis of obscure gastrointestinal bleeding.