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OMOM 胶囊内镜对不明原因腹痛的诊断作用.pdf

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OMOM 胶囊内镜对不明原因腹痛的诊断作用.pdf

null‚÷nullOMOM‹5ä‚üðy´e¥T¨张null洁,王邦茂,张庆瑜,林null睿,朴美玉,常毅湘ÃDSvÐ9DýhÄS,Ã300052nullnullKnull1¥null了解国产OMOM胶囊内镜在慢性腹痛中对小肠疾病的临床诊断应用价值bZEnull2008年2月至2010年1月间,应用OMOM胶囊内镜重庆金山科技集团生产对67例慢性腹痛患者腹痛组和46例无任何症状的查体者查体组进行检查,其中腹痛组患者均过经多次胃镜和结肠镜检查,未发现可以解释慢性腹痛的病变b²Tnull慢性腹痛组患者中小肠黏膜病变的诊断阳性率为68.746/67,明显高于健康查体人群的21.710/46腹痛组46例小肠黏膜病变中以小肠黏膜非特异性炎症为最多,占21例,其次为小肠单发或者多发的息肉12例回肠和空肠单发或多发的小溃疡11例,结合临床病史诊断为小肠克罗恩病小肠肿瘤6例小肠未发现任何异常的占25.717/67,小肠淋巴组织增生11例b腹痛组患者OMOM胶囊在小肠的通过时间243.961.9min明显长于查体组215.352.9minP0.05b²‚null国产OMOM胶囊内镜对小肠黏膜病变的诊断阳性率高,而且安全无痛苦,具有较好的临床应用价值,尤其适用于不明原因的慢性腹痛患者b1oM肠疾病腹痛胶囊内镜诊断ÏmsË|R574nullÓDSM’AnullÓcI|1004null583X201014null1205null05OMOMcapsuleendoscopyindiagnosisofunexplainedabdominalpainZHANGJie,WANGBangnullmao,ZHANGQingnullyu,LINRui,PIAOMeinullyu,CHANGYinullxiangDepartmentofGastroenterology,TianjinMedicalUniversityGeneralHospital,Tianjin300052,ChinaABSTRACTObjectivenullTounderstandthedomesticOMOMcapsuleendoscopyinpatientswithchronicabdominalpainofintestinaldiseasesintheclinicaldiagnosticvalue.MethodsnullFeb.2008nullJan.2010,theOMOMcapsuleendoscopyproducedbyChongqingJinshanScienceandTechnologyGroupwasusedin67patientswithchronicabdominalpainnamedabdominalpaingroupand46personswithoutanysymptomsnamedhealthypeoplegroup.Allthepatientswithchronicabdominalpainhadbeenexaminedwithrepeatedgastroscopyandcolonoscopy,butwerenotfoundthecausesfortheabdominalpain.ResultsnullForsmallintestinalmucosainabdominalpaingroup,thediagnosticpositiveratewas68.746/67,significantlyhigherthanthatinhealthypeoplegroup21.710/46about21casessufferedfromnonnullspecificinflammationofthesmallintestineinthe46patientswithsmallintestinallesionsintheabdominalpaingroup,thenfollowedbysingleormultiplesmallbowelpolypsin12cases.Ileumandjejunumsingleormultiplesmallulcersin11cases,withtheclinicalhistories,theywerediagnosedsmallbowelCrohndisease.Smallintestinaltumoroccurredin6cases.About25.717/67patientsintheabdominalpaingroupshowedabsolutelynormalsmallintestinewhereas11caseswereintestinallymphoidhyperplasia.Inabdominalpainpatients,OMOMcapsuletransittimeinthesmallintestine243.961.9minwassignificantlylongerinhealthypeoplegroup215.352.9minP0.05.ConclusionnullDomesticOMOMcapsuleendoscopyforsmallintestinallesionshashigherpositiverate,andmoresecuritywithoutthepain,andithasgoodclinicalvalue,especiallyforpatientswithunexplainedchronicabdominalpain.KEYWORDSintestinaldiseaseabdominalpaincapsuleendoscopydiagnosisnullnull‚üðy¥¤Ÿ´ehϤ,HHߥ´€/´†¥e,hñÑV6ñ¥BˤŸh1b¤Ÿ´e¥hy¯,’4bB,´eKÈn¿Ç†Ñ,/´e²ËhM„´8¥h¹n,lËh¥ÑhqM®2,Œ9µB†sÑ€ÜVÇäa²Ëä„´8CT_°ÃnsÈfƒ,w©VlËhMblËÉÿ3.357.85m,ùÖg8„ÓÊ,»³0.050.052.2null‹5äC¥ÇaË¡hMnull67褟´eFрϵ46è¹lËhM,lËhM¥Ÿq¹68.7,Ú¿ª¥lË/•abŸ‚Í©_°ZElËh¥_q40.0P,HüAÚ¿rB°8¦•¥null1206null5Y∀null2010M720°»25»14ùnullClinicalFocus,July20,2010,Vol25,No.1421.7P0.050.050.050.050.050.050.050.052.3null‹5äÇalË„²ËhM¥ÕËnull´eFÑ€Ï46èlËhMÏlËdsŸ¡¹K,VC¹œlË1Ÿ¥Ø®£„£Ö,ôµÓ5©AQ¹lˆ€¥½12è,vl‚ÑV1.0cm,VëÁ,íÓ„Ø®m2íË„bˆ¥lŽ11è,°å0.20.5cm­W,ŽVë­âù,Û¶£Ö£,²†5hN¹lËX6hm3lËv¥H6è,lË8¥1/2Û,ÜV“SmŒ„lËähØ£L¹lËWÉl˽m4_°¥ÇhM26è,ö1¹Ç¥£,Ø®aúÇ„lŽm5µ32èÑ€¥‹5YVí©õÉÆž²Ë,Œ‹5ÉÆž²Ëª®¿—iv¥ÛsäËA,‹5›ÉÎüAh¤,iOËA•Yj74³,yNºC8èÑ€µ²Ël½,6èÑ€µ²Ë‘Mh,Ï1è86ߥрٖªÜ2Q›8»²Ëä_°,Œ®¿Ë¡4D„Éä’4©ðy,Þrí©õ,‹5ä_°ÏC‹5YVí©õªÿ20cm,n1ñEÖ582/3¥vH,VëŽaØ®a£,‹5äYVµEï,NÌÉHW,¹²ËÖ,ªÜmŒ£L¹²Ë´m6,NÑ€HÎôµ²Ë‘Mh„l½bN“,HiÇalË„²Ë2Õ€2ÕhM¥Ñ€µ36è,´eF††Ñ€¥53.7°8FÏlË47.8Ãn©sÈ¥,ε7è15.2ǵlËØF®93QlË¥dsŸ¡„”¦¥lËl½ÐlŽ™î°8FÏ÷_¥Ç¥¡ŸhM28è唦_²Ë½„²Ë‘Mh,H†i2Õ€2ÕhM¥µ19è41.3b2.4nullOMOM‹5ä¥ýTÉ„‚Q‹null‹5äýTHW326513sÒ,ÜýTHW357sÒ,Ü|v˔¹63542f,¤s_°€¨æ¹›î_°,íÌ8‚†¥fƒ,¿î‚L¥ºM¦€‹5ä_°HCµ²Ë‘Mh¥¦,_°²ª,a’óÐÇË¡\îï0þ,9y‹5¥†,3ª¯Ãn‹5†¥s_€,ë›ëÊ´ÜË_°,’ç‹5ŽÎ8bSÁ¥‹5ä9FLHSed,ÛH4³,‹5¥›ÊÂb¤s_°€}ó‹5äí©’4,_©Vñí©‚aQ‹bOMOM‹5ä¥mËÜVQ¿É„9Øñ½¥Øk,Xrž30£Í¥sOq,_°D4AmHXÜË“b,ÐM2A‹5äíüAuYbmÓÐd¥ýTrqüA4Ú,/mË¥HW®Ég‹5ä¥6lHP4ÚžC¥20sÒ,A÷4ÚD3¥ýTrq,†®Ñ€_°¥îŒOMOM‹5ä¥_°d,ºMÑ€µŸµ’4,‚æ¿Ñ€_°¥VñÏ1¹›,9ö•Y‹5älËYVHW¥4³b3nullnull‚hÄSʐÏ,‚üðy¥¤Ÿ´e1Èn¥BÕh,4¿’bٖv”Ñ€XÜYVÈ0Çä„8»²Ëä¥_°,“Ç„²Ë¥hM,Œ®¿lËy¥³é²,Ê¿null1207null5Y∀null2010M720°»25»14ùnullClinicalFocus,July20,2010,Vol25,No.14´8žÏW,³îŸv,ÉÉ,P¤lËh¥_°M¤dȒ4bª¥lË4/•aDSAÓ5/•a´†CT‚ÍA©_°,®¿W¤î,•YyÍ,¥Ÿq®bwÉTlËäº4³†slË,‚¨¿†lËh¥,7O_°HÑ€emv,ȳ1“e“áHq/›î,iOµË¡Óa,da˙„Ji“¥„B6bäGiven³‹5ä¥ÙWŸ,áSùÅ¥OMOM‹5ä9VÉ›†lË¥íeŸVj_°,ùîö1SÁ‹5䤟´eÑ€„ÇäaË䥰8€Ï¥‹¨rTb‹5ädžb„lËYVHW¥©çS“µÐ€ª¹}›‹5ä¥VñVASBñÍ»¿3Ø¥ÇË¡î¥Vñ,µæ¿4³s_€¥ÇË¡îïfƒbµ¦ùM2A‹5ä4³ž›¨ÇË\îï0þª,džbHW„lËYVHWüAê7,76“¥Ð€5ª¹†B‹¨‹5ä‚4³\îï0þÇËYVHW¥¿M,7‹5äB†sË8¥Ì,4UN†ÊVihM¥Þ|8bùîϤŸ´eÑ€lËYVHWüAÉ¿°8F,7Ç8„†8“¥HW,Fµsíd9Ðil,ÐNí©9¥ùî²TMBÁ,4UlËîïV¤P¤Ñ€†bHWüÉ,—i¥}†Áþ†‚Î,„¥ÜQ,Vüðy´e¥Bñhy2,N,5ÍÏóÍÑ€Bt9ÇË¡îï„úùhÄ¥0þ,µB†sÑ€´e¡¤žÏ³6“,¤Ÿ´eFÑ€lË¥YVHWÉ¿°8F,V9ÐsFµ1,´eFÑ€MÊv,Ï‚Cã5„î‚L¥Ñ€,7°8FÑ€M,îz,Wei©10ª¹M„ŸYÇËHWµ1b‹5ä‚üðy´eÑ€lËhMqÚùîÏ´eFlËhM¥_q¹68.7,Ð5Fª4³ž¥ÉgM2A‹5älËh_¥Ÿq65.2BÁ5,ªüSÁ‹5älËhM¥4³rT©¿Ég‹5äblË¥hM9lË¥¡¹Kn,Q¹lˆ¥Ž„l˽,w©lË¥¡,V„lËæuÁ´eKÈn¥ðybRondonotti©11„Eliakim©12YV7M¥Ïù,‹5ä‚üðy¥hġӐŸqKÚ,QlË¥Ž„¥½,¿´e¥Ñ€¥hyqù‚ÂhÄ¡Ó€,VÐÓŸhHlËhM¥S½üAµ1bí5¡¥°8FÏCl˽5è10.9,7´eFl˽12è17.9,€Wµsíd9Ðil,Ž4U´eÐÑ€¥ÜùËŸ„eµ112b8èµÑ€ÜVÉB„¥lËä/½Mͪ,1´e¡zbε´eÑ€17è,‹5ä_°lËÃnsȄǵlËØF®9311è,7lËØF®93lË¥žÈF®²,ƒtÑ€¥Ç䄲ËäsgíüAhM,V¹ÿŸ´e,VóÍM‹¥0þ„ØÍb´eFÑ€µ6è_lËÖþ,iOÜVlËä„“SmŒ£L¹lË¥0ŸÖbª4Ī¹lËÖ¥hq®,vÿœñÇË¡Ö¥13,Trifan©134³ÜV‹5ä_°¥Ñ€102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