CAJ | 학술논문

目的：探讨胶囊内镜在小肠疾病诊断中的应用价值和安全性。方法回顾分析采用OMOM胶囊内镜检查的216例患者，其中不明原因消化道出血43例，慢性腹痛72例，慢性腹泻54例，腹部不适20例，体检27例，对诊断结果进行分析。结果对出血性病变的阳性诊断率为69.8%，显著高于对慢性腹痛、慢性腹泻及腹部不适的阳性诊断率（P<0.05）。结论胶囊内镜是不明原因消化道出血的首选检查方法，安全性高，耐受性好，在小肠疾病诊断中具有重要价值。
목적：탐토효낭내경재소장질병진단중적응용개치화안전성。방법회고분석채용OMOM효낭내경검사적216례환자，기중불명원인소화도출혈43례，만성복통72례，만성복사54례，복부불괄20례，체검27례，대진단결과진행분석。결과대출혈성병변적양성진단솔위69.8%，현저고우대만성복통、만성복사급복부불괄적양성진단솔（P<0.05）。결론효낭내경시불명원인소화도출혈적수선검사방법，안전성고，내수성호，재소장질병진단중구유중요개치。
Objective To investigate the application value and safety of the capsule endoscopy in the diagnosis of small bowel diseases. Methods Retrospective analysis was made on 216 cases examined by O-MOM capsule endoscopy. The causes for capsule endoscopy were obscure gastrointestinal bleeding in 43 cas-es, chronic abdominal pain in 72 cases, chronic diarrhea in 54 cases, abdominal discomfort in 20 cases, and physical check-up in 27 cases. Results The positive rates of diagnosis were 69.8%in obscure gastrointestinal bleeding, 31.9%in chronic abdominal pain, 31.5%in chronic diarrhea, 30%in abdominal discomfort, and 14.8%in physical check-up. The diagnosis rate in obscure gastrointestinal bleeding was significantly higher than other conditions (P<0.05). Conclusion Capsule endoscopy is the first choice for obscure gastrointestinal bleeding due to its safety and tolerability.