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1、国产OMOM胶囊内镜对328例不明原因消化道出血的诊断价值李宜辉,王雷,樊超强,于劲,张霞,张朋彬,柏建鹰,郭红,凌贤龙,赵晓晏(400037重庆,第三军医大学新桥医院消化内科)[摘要]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1()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;IL血患者进行检査,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)。其屮,最常见的
2、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%),M肉19例(5.88%),活动性出血17(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(().62%)。结论国产OMOM胶喪内镜对不明El因消化道出血有良好的诊断价值,临床安全性好。[关键词]国产OMOM胶囊内镜;不明原因消化道出血[中图法分类号][文献标志码]ADiagnosticval
3、ueofOMOMcapsuleendoscopyin328patientswithobscuregastrointestinalbleedingLiYihuitWangLei,FanChaoqiang,YuJin,ZhangXia,ZhangPengbin,BaiJianying,GuoHong,LingXianlong,ZhaoXiaoyan(DepartmentofGastroenterology,XinqiaoHospitahThirdMilitaiyMedicalUniversity,Chongqing,40003
4、7,China)[Abstract]ObjectiveToevaluatethediagnosticvalueandsafetyofOMOMcapsuleendoscopyinpatientswithobscuregastrointestinalbleeding・MethodsFromOct.2005toSep.2011,theOMOMcapsuleendoscopywasusedin328patientswithobscuregastrointestinalbleeding.DiagnosesbyOMOMcapsulee
5、ndoscopywererecordedandcomparedstatistically.Result323patientsfinishedthetestssuccessfully.Theoveralldiagnosticyieldwas76.16%(246/323).Theetiologicaldiagnosticaccuracywas56.04%(181/323)・Themostcommonfindingsincluded51casesoftumor(15.79%),45casesofvascularlesions(1
6、3.93%),39casesofnon-specificinflammation(12.07%),34casesofulcer(10.53%);Theotherfindingsincluded19casesofancylostomiasis(5.88%),19casesofpolyp(5.88%),17casesofactivebleeding(5.26%),8casesofdiverticulum(2.48%),7casesoflymphoidhyperplasia(2.17%),5casesofCrohndisease
7、C1.55%),2casesofintestinaltuberculosis(0.62%)・ConclusionOMOMcapsuleendoscopyisasafeprocedureandvaluabletoolindiagnosingobscuregastrointestinalbleeding・[Keywords]OMOMcapsuleendoscopy;obscuregastrointestinalbleedingCorrespondingauthor:WangLei,Tel:86-23-687745()4,E-m
8、ail:liyihuixhk@livc.com消化道出血临床常见,约3%〜5%为临床少见的不明原因消化道出ifll.(obscuregastrointestinalbleeding,OG1B)o后者经常规胃肠镜等检查无法明确出血的原因,提示病变部位可能在小肠。对小肠疾病现有的检查如顿餐、腹部CT、血管造