中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2015年
1期
2-5
,共4页
王新颖%郑惠玲%王国振%周洁琼%姜泊
王新穎%鄭惠玲%王國振%週潔瓊%薑泊
왕신영%정혜령%왕국진%주길경%강박
胶囊内镜%主动式%上消化道
膠囊內鏡%主動式%上消化道
효낭내경%주동식%상소화도
Capsule endoscopy%Positive%Upper gastrointestinal
目的 探讨NaviCam遥控胶囊内镜在上消化道检查中的应用价值.方法 纳入39例健康志愿者,使用NaviCam遥控胶囊内镜完成胃部主动式检查,评价其安全性、受检者舒适度及对食管、胃黏膜的观察情况.结果 在食管齿状线、贲门、胃底、胃体、胃角、胃窦、幽门部主动观察能观察到75%以上黏膜者分别为19例(48.71%)、37例(94.87%)、25例(64.10%)、30例(76.92%)、39例(100.00%)、39例(100.00%)、39例(100.00%),以上部位平均主动观察时间分别为1.5 min、3.0 min、8.0 min、17.0 min、3.0 min、3.0 min、5.0 min.主动控制胶囊进入十二指肠者25例(64.10%),平均所需时间8.0 min;7例主动控制进入十二指肠失败;7例发生胶囊内镜非自主进入小肠,其中1例未能完成1次有效主动观察,胶囊完成1次主动有效观察率为97.43% (38/39).检查过程中仅1例出现异物感.受检者均于检查后7d内排出胶囊.结论 NaviCam遥控胶囊内镜行上消化道检查安全可行,效果好,且患者舒适,无交叉感染风险,具有良好的临床应用前景.
目的 探討NaviCam遙控膠囊內鏡在上消化道檢查中的應用價值.方法 納入39例健康誌願者,使用NaviCam遙控膠囊內鏡完成胃部主動式檢查,評價其安全性、受檢者舒適度及對食管、胃黏膜的觀察情況.結果 在食管齒狀線、賁門、胃底、胃體、胃角、胃竇、幽門部主動觀察能觀察到75%以上黏膜者分彆為19例(48.71%)、37例(94.87%)、25例(64.10%)、30例(76.92%)、39例(100.00%)、39例(100.00%)、39例(100.00%),以上部位平均主動觀察時間分彆為1.5 min、3.0 min、8.0 min、17.0 min、3.0 min、3.0 min、5.0 min.主動控製膠囊進入十二指腸者25例(64.10%),平均所需時間8.0 min;7例主動控製進入十二指腸失敗;7例髮生膠囊內鏡非自主進入小腸,其中1例未能完成1次有效主動觀察,膠囊完成1次主動有效觀察率為97.43% (38/39).檢查過程中僅1例齣現異物感.受檢者均于檢查後7d內排齣膠囊.結論 NaviCam遙控膠囊內鏡行上消化道檢查安全可行,效果好,且患者舒適,無交扠感染風險,具有良好的臨床應用前景.
목적 탐토NaviCam요공효낭내경재상소화도검사중적응용개치.방법 납입39례건강지원자,사용NaviCam요공효낭내경완성위부주동식검사,평개기안전성、수검자서괄도급대식관、위점막적관찰정황.결과 재식관치상선、분문、위저、위체、위각、위두、유문부주동관찰능관찰도75%이상점막자분별위19례(48.71%)、37례(94.87%)、25례(64.10%)、30례(76.92%)、39례(100.00%)、39례(100.00%)、39례(100.00%),이상부위평균주동관찰시간분별위1.5 min、3.0 min、8.0 min、17.0 min、3.0 min、3.0 min、5.0 min.주동공제효낭진입십이지장자25례(64.10%),평균소수시간8.0 min;7례주동공제진입십이지장실패;7례발생효낭내경비자주진입소장,기중1례미능완성1차유효주동관찰,효낭완성1차주동유효관찰솔위97.43% (38/39).검사과정중부1례출현이물감.수검자균우검사후7d내배출효낭.결론 NaviCam요공효낭내경행상소화도검사안전가행,효과호,차환자서괄,무교차감염풍험,구유량호적림상응용전경.
Objective To investigate the clinical significance of NaviCam magnetic-controlled capsule endoscopy (NMCE) system in the examination of upper gastrointestinal tract.Methods A total of 39 healthy volunteers were enrolled in the present study.NMCE system was used to examine upper gastrointestinal tract.The safety,gastric preparation,visualization and comfort of the subjects were evaluated.Results Visualization of the Z-line,gastric cardia,fundus,body,angulus,antrum and pylorus was subjectively assessed as more than 75% mucosa in 19 (48.71%),37 (94.87%),25 (64.10%),30 (76.92%),39 (100.00%),39 (100.00%),and 39 (100.00%),respectively.The observation time was 1.5,3.0,8.0,17.0,3.0,3.0,5.0 min respectively.The capsule was driven into duodenum positively in 25 (64.10%).Seven subjects went into small bowel without control.The one-time visualization efficacy was 97.43% (38/39).Only one subject felt foreign body sensation.All subjects extracted the capsule within 7 days.Conclusion Our study provides a preliminary assessment of the NMCE on its feasibility and safety.It is comfortable with no chance of cross-infection.NMCE system is a useful tool for upper GI examination and will have a good future.