目的探讨胶囊内镜(capsule endoscope,CE)在小肠疾病中的诊断价值。方法回顾性分析196例行CE检查患者的临床资料,按不同症状归类,分析CE对各类症状组检出疾病的阳性率。结果195例完成检查,胶囊内镜回盲瓣通过率为86.6%(169/195),123例发现小肠病变(63.0%),消化道出血组小肠病因检出率80.9%(68/84),明显高于其他各组(P均<0.01)。其他各组小肠疾病检出率为腹泻组64.7%,腹痛组51.7%,消瘦组50%和腹胀组38.4%。结论国产OMOM胶囊内镜安全,顺应性好,可用于小肠疾病,尤其是不明原因消化道出血的诊断。

Objective To evaluate the diagnostic value of capsule endoscopy (CE) for small intestine diseases. Methods The clinical data of 196 patients who underwent CE were retrospectively analyzed. Grouped according to different symptoms, the positive rate of small intestinal diseases was analyzed by χ² test in groups. Results Small bowel examinations for 195 patients were completed. The inspection success rate was 86.6% (169/195). The diagnostic positive rate 80.8% (68/84) in digestive bleeding group was higher than in the other groups (P＜0.01). The diagnostic positive rate in diarrhea group was 64.7% (11/17), in abdominal pain group was 50.82% (30/59), in weight reduction group was 50% (2/4) and in abdominal distension group was 38.4% (5/13). Conclusions OMOM capsule endoscopy has good security and compliance, it can be used in finding small intestine disease, especially in patients with obscure gastrointestinal bleeding.