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目的探讨OMOM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,1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21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。
Objective To investigate the performance of OMOM capsule endoscopy system and its value in clinical application. Methods The clinical data of 65 cases of OMOM endoscopy were summarized. Results In 65 patients with suspected gastrointestinal diseases, 1 patient failed to pass the pylorus during the capsule expiry time, and the remaining 64 patients were summarized. A total of 47 lesions were detected, including 21 cases of small bowel disease (3 cases of Crohn’s disease (1 case of Peutz-Jeghers syndrome), 9 cases of gross or abnormal blood vessels, 3 cases of ileal diverticulum, 3 cases of hookworm and 3 cases of small intestine submucosal space (1 case had surgery and Pathology confirmed as leiomyosarcoma). No abnormalities in 17 cases. The positive detection rate was 73.4%. Capsule examination time averaged 473min (360-630min), the average discharge time of 1723min (690-2370min). Conclusion OMOM capsule endoscopy for the detection of small bowel disease is high, for unknown reasons, patients with gastrointestinal bleeding can be used as a routine examination.