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《國(guó)產(chǎn)OMOM膠囊內(nèi)鏡對(duì)323例不明原因消化道出血的診斷價(jià)值》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、國(guó)產(chǎn)OMOM膠囊內(nèi)鏡對(duì)328例不明原因消化道出血的診斷價(jià)值李宜輝，王雷，樊超強(qiáng)，于勁，張霞，張朋彬，柏建鷹，郭紅，凌賢龍，趙曉晏(400037重慶，第三軍醫(yī)大學(xué)新橋醫(yī)院消化內(nèi)科)［摘要］目的探討國(guó)產(chǎn)OMOM膠囊內(nèi)鏡對(duì)不明原因消化道出血患者的診斷價(jià)值及安全性。方法2005年1()月至2011年9月，應(yīng)用國(guó)產(chǎn)OMOM膠囊內(nèi)鏡對(duì)328例不明原因消化道;IL血患者進(jìn)行檢査，對(duì)診斷結(jié)果進(jìn)行相關(guān)統(tǒng)計(jì)學(xué)分析。結(jié)果共323例患者檢查成功，病變檢出率為76.16%(246/323),病因診斷率為56.04%(181/323)。其屮，最常見(jiàn)的
2、是占位性病變51例(15.79%),血管性病變45例(13.93%),非特異性炎癥39例(12.07%),潰瘍性病變34例(10.53%)；其次為鉤蟲病19例(5.88%),M肉19例(5.88%),活動(dòng)性出血17(5.26%),憩室8例(2.48%),淋巴組織增生7例(2.17%),克羅恩病5例(1.55%),腸結(jié)核2例(().62%)。結(jié)論國(guó)產(chǎn)OMOM膠喪內(nèi)鏡對(duì)不明El因消化道出血有良好的診斷價(jià)值，臨床安全性好。［關(guān)鍵詞］國(guó)產(chǎn)OMOM膠囊內(nèi)鏡；不明原因消化道出血［中圖法分類號(hào)］［文獻(xiàn)標(biāo)志碼］ADiagnosticval
3、ueofOMOMcapsuleendoscopyin328patientswithobscuregastrointestinalbleedingLiYihuitWangLei,FanChaoqiang,YuJin,ZhangXia,ZhangPengbin,BaiJianying,GuoHong,LingXianlong,ZhaoXiaoyan(DepartmentofGastroenterology,XinqiaoHospitahThirdMilitaiyMedicalUniversity,Chongqing,40003
4、7,China)[Abstract]ObjectiveToevaluatethediagnosticvalueandsafetyofOMOMcapsuleendoscopyinpatientswithobscuregastrointestinalbleeding?MethodsFromOct.2005toSep.2011,theOMOMcapsuleendoscopywasusedin328patientswithobscuregastrointestinalbleeding.DiagnosesbyOMOMcapsulee
5、ndoscopywererecordedandcomparedstatistically.Result323patientsfinishedthetestssuccessfully.Theoveralldiagnosticyieldwas76.16%(246/323).Theetiologicaldiagnosticaccuracywas56.04%(181/323)?Themostcommonfindingsincluded51casesoftumor(15.79%),45casesofvascularlesions(1
6、3.93%),39casesofnon-specificinflammation(12.07%),34casesofulcer(10.53%)；Theotherfindingsincluded19casesofancylostomiasis(5.88%),19casesofpolyp(5.88%),17casesofactivebleeding(5.26%),8casesofdiverticulum(2.48%),7casesoflymphoidhyperplasia(2.17%),5casesofCrohndisease
7、C1.55%),2casesofintestinaltuberculosis(0.62%)?ConclusionOMOMcapsuleendoscopyisasafeprocedureandvaluabletoolindiagnosingobscuregastrointestinalbleeding?[Keywords]OMOMcapsuleendoscopy；obscuregastrointestinalbleedingCorrespondingauthor：WangLei,Tel：86-23-687745()4,E-m
8、ail：liyihuixhk@livc.com消化道出血臨床常見(jiàn)，約3%?5%為臨床少見(jiàn)的不明原因消化道出ifll.(obscuregastrointestinalbleeding,OG1B)o后者經(jīng)常規(guī)胃腸鏡等檢查無(wú)法明確出血的原因，提示病變部位可能在小腸。對(duì)小腸疾病現(xiàn)有的檢查如頓餐、腹部CT、血管造
