CAJ | 학술논문

目的：回顾性分析我院行胶囊内镜检查滞留在胃、小肠的患者，分析原因，提出相应的对策。方法回顾性分析笔者医院2010年12月至2013年12月应用胶囊内镜检查130例不名原因消化道出血患者。结果130例患者中共有9例患者出现胃、小肠滞留，滞留率为6.9%，胃内滞留7例，2例通过胃镜取出，1例手术合并取出，4例使用药物、器械等送入小肠，小肠滞留 2例，1例通过手术取出，1例 2月后肛门排出。结论胶囊内镜滞留是胶囊内镜检查中比较严重的并发症，术前对患者进行严格筛查，常规胃镜检查，重视肠道准备，实时监测指导。滞留胃内超过1小时采取药物或器械送入小肠，滞留小肠若无梗阻发生，可行观察，若出现梗阻，应及时手术治疗。
목적：회고성분석아원행효낭내경검사체류재위、소장적환자，분석원인，제출상응적대책。방법회고성분석필자의원2010년12월지2013년12월응용효낭내경검사130례불명원인소화도출혈환자。결과130례환자중공유9례환자출현위、소장체류，체류솔위6.9%，위내체류7례，2례통과위경취출，1례수술합병취출，4례사용약물、기계등송입소장，소장체류 2례，1례통과수술취출，1례 2월후항문배출。결론효낭내경체류시효낭내경검사중비교엄중적병발증，술전대환자진행엄격사사，상규위경검사，중시장도준비，실시감측지도。체류위내초과1소시채취약물혹기계송입소장，체류소장약무경조발생，가행관찰，약출현경조，응급시수술치료。
Objective to analyze retrospectively capsule endoscopy in our hospital stay in patients with stomach, small intestine, and analyze the reasons put forward corresponding countermeasures. Methods a retrospective analysis of the author's Hospital in december 2010 - december 2013 application capsule endoscopy does not name the reason 130 cases of gastrointestinal bleeding patients. the results of 130 patients in a total of nine patients had stomach, small intestine retention, retention rate was 6.9%, gastric retention seven cases, two cases removed by endoscopy, one case of combined surgical removal, four cases of the use of drugs, equipment, etc. into the small intestine, intestinal stranded two cases, one case removed through surgery, anal discharge after one case in february. Conclusion capsule endoscopy capsule endoscopy retention is the more serious complications, preoperative patient rigorous screening, routine gastroscopy, attention bowel preparation, real-time monitoring guidance. retention in the stomach more than one hour to take a drug or device into the small intestine, small intestine stranded in the absence of obstruction occurs feasible to observe, if the obstruction should prompt surgical treatment.