OMOM 胶囊内镜对不明原因腹痛的诊断作用.pdfOMOM 胶囊内镜对不明原因腹痛的诊断作用.pdf

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NULL‚NULLOMOM‹5‚YET张NULL洁,王邦茂,张庆瑜,林NULL睿,朴美玉,常毅湘DSV9DHS,300052NULLNULLKNULL1NULL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BTNULL慢性腹痛组患者中小肠黏膜病变的诊断阳性率为68746/67,明显高于健康查体人群的21710/46;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25717/67,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2439619MIN明显长于查体组2153529MINP005;胶囊探头的胃通过时间426189MIN和排出体外的时间839274H,分别比查体组406134MIN和743191H要长,但是差异均无统计学意义P005B‚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MS|R574NULLDSM’ANULLCI|1004NULL583X201014NULL1205NULL05OMOMCAPSULEENDOSCOPYINDIAGNOSISOFUNEXPLAINEDABDOMINALPAINZHANGJIE,WANGBANGNULLMAO,ZHANGQINGNULLYU,LINRUI,PIAOMEINULLYU,CHANGYINULLXIANGDEPARTMENTOFGASTROENTEROLOGY,TIANJINMEDICALUNIVERSITYGENERALHOSPITAL,TIANJIN300052,CHINAABSTRACTOBJECTIVENULLTOUNDERSTANDTHEDOMESTICOMOMCAPSULEENDOSCOPYINPATIENTSWITHCHRONICABDOMINALPAINOFINTESTINALDISEASESINTHECLINICALDIAGNOSTICVALUEMETHODSNULLFEB2008NULLJAN2010,THEOMOMCAPSULEENDOSCOPYPRODUCEDBYCHONGQINGJINSHANSCIENCEANDTECHNOLOGYGROUPWASUSEDIN67PATIENTSWITHCHRONICABDOMINALPAINNAMEDABDOMINALPAINGROUPAND46PERSONSWITHOUTANYSYMPTOMSNAMEDHEALTHYPEOPLEGROUPALLTHEPATIENTSWITHCHRONICABDOMINALPAINHADBEENEXAMINEDWITHREPEATEDGASTROSCOPYANDCOLONOSCOPY,BUTWERENOTFOUNDTHECAUSESFORTHEABDOMINALPAINRESULTSNULLFORSMALLINTESTINALMUCOSAINABDOMINALPAINGROUP,THEDIAGNOSTICPOSITIVERATEWAS68746/67,SIGNIFICANTLYHIGHERTHANTHATINHEALTHYPEOPLEGROUP21710/46;ABOUT21CASESSUFFEREDFROMNONNULLSPECIFICINFLAMMATIONOFTHESMALLINTESTINEINTHE46PATIENTSWITHSMALLINTESTINALLESIONSINTHEABDOMINALPAINGROUP,THENFOLLOWEDBYSINGLEORMULTIPLESMALLBOWELPOLYPSIN12CASESILEUMANDJEJUNUMSINGLEORMULTIPLESMALLULCERSIN11CASES,WITHTHECLINICALHISTORIES,THEYWEREDIAGNOSEDSMALLBOWELCROHNDISEASESMALLINTESTINALTUMOROCCURREDIN6CASESABOUT25717/67PATIENTSINTHEABDOMINALPAINGROUPSHOWEDABSOLUTELYNORMALSMALLINTESTINEWHEREAS11CASESWEREINTESTINALLYMPHOIDHYPERPLASIAINABDOMINALPAINPATIENTS,OMOMCAPSULETRANSITTIMEINTHESMALLINTESTINE2439619MINWASSIGNIFICANTLYLONGERINHEALTHYPEOPLEGROUP2153529MINP005;CAPSULEPROBETIMETHROUGHTHESTOMACH426189MINANDTHETIMEEXCRETEDFROMTHEBODY839274HRESPECTIVELYWERELONGER,COMPAREDWITHHEALTHYPEOPLEGROUP406134MINAND743191H,BUTNOSIGNIFICANTDIFFERENCEEXISTEDBOTHP005CONCLUSIONNULLDOMESTICOMOMCAPSULEENDOSCOPYFORSMALLINTESTINALLESIONSHASHIGHERPOSITIVERATE,ANDMORESECURITYWITHOUTTHEPAIN,ANDITHASGOODCLINICALVALUE,ESPECIALLYFORPATIENTSWITHUNEXPLAINEDCHRONICABDOMINALPAINKEYWORDSINTESTINALDISEASE;ABDOMINALPAIN;CAPSULEENDOSCOPY;DIAGNOSISNULLNULL‚YŸEH,HH€/†E,HV6BŸH1BŸEHY,’4BBŸ,EKN†,/EHM„8HN,LHHQM2,Œ9B†S€VA„8CT_NSFƒ,WVLHMBL335785M,G8„,8™†,H‡_U3B1V2001M5SWAIN„IDDANNULL1205NULL5Y∀NULL2010M7202514NULLCLINICALFOCUS,JULY20,2010,VOL25,NO14‹5GGŸ,A€LVJŸ_B4BA4LH_Q,ŒS7,N,‚W‹B2008MŸ„IOMOM‹5,P‹5‚YŸEHY_B1NULLZE11NULLNULL2008M22010M1„‚YE€67EF,339,O28,M1985,559169,€V2Q2Q0AAL/•ABŸ‚„†CT_,CVD5VCŸHMB8€468F,RB88_€,326,O20,M1274,463142BS_€SMV10,3O‚K,QT†A/†€††E€,E€WTE,VAAL/•A†„HTCTAU„7M_C’HM,68€5B†SJ5N}’4VPLEA‚„I€;∃R0D€;HAW‚1E›€;XP€€;›“SMŒ€5B12NULLZE121NULL_ZENULLS_J8LH,IG›ZY135G€2000ML†™A,B,žS_,†VL810Q,BLBVOMOM‹5T|‰L€‘,ZCN,€,}›‹5H,HQ€,}›‹5LH,5SX,/51,V›;5€›‚L€,}‹5051LHW,›OMOM‹5LHS,4‹5ŽXYVL,TV1LH,‹5L€,›T,‹Š3|‹5WE,’‹5L›_CB_V2LH,4LHJ,7VJJB_,|CN”/žOMOMT_,2HS‡DSY›MSB122NULLNNULL‹IOMOM‹5MSD,D01MMVL4›V,J˜140∋P,J3MM,2{MV,VT8LH,1_VV_”CN{6–MB123NULL4SNULLOMOM‹5_€ALYVHW„†8“HW;∃‹5„HMŸC;€S‹5_‹ŸB13NULLD9ZENULL‹SPSS130D9Q”,9”SNULLXSVU,F9T_;9””„S”VU,NULL2_’MQE_,P005SD9ILB2NULLNULLT21NULL‹5„›HWNULLOMOM‹5VL13CM28CM,1›‹50V,S_€,“M8AHW5€}›OMOM‹5’4,}›‹505LH›1QOMOM_DLHS,’‹5XYVžE8,475A‚LŸE€,V3Q‹5LHS,C}›‹515LH,‹5–G,›/YVŠ3|‹5WVGE8,EF€27†‹5H,1€‹5H8B–EF€‹5HYVHW„†8“HWSY18F€1,ŒSD9IL;EF€OMOM‹5LYVHWA8FP005BNV1BV1NULL‹5S_€YVHW„†8“HWNULLXSFY”YVHWMINLYVHWMIN†8“HWHEF6742618924396198392748F464061342153529743191T057123501908P00500500522NULL‹5CAHMNULL67ŸEF€46LHM,LHMŸQ687,L/•ABŸ‚_ZELH_Q400P,HARB8•NULL1206NULL5Y∀NULL2010M7202514NULLCLINICALFOCUS,JULY20,2010,VOL25,NO14217P005;ŸEF€LCS257,LF9311M1BŸEF€HŸQ388,A8F609P005;ŸEF€V4žHMHQ179,8F152,ŒSD9ILBNV2BV2NULL‹5CAHMFY”LL†/ŽL†/LLF93LNSLHMEF672126911164121796891116417257466878F46817424351090NULLNULL71522247810217NULL227833901105843500029608424017P005005005005005005001FY”HM‘MHHM22HMEF6726388811968911512179365378F462860961302430NULLNULL715219413NULL2532100310880069301411686P00500500500500500523NULL‹5AL„HMNULLEF€46LHMLDSŸK,VCœL1Ÿ„,5A;QL†€12,VL‚V10CM,V;,„M2;„B†LŽ11,0205CMW,ŽV,,†5HNLX6HM3;LVH6,L81/2,V“SMŒ„LHLLWLM4;_HM26,1,A„LŽM5;32€‹5YVž,Œ‹5ž—IVSA,‹5›AH,IOA•YJ74,YNC8€L,6€‘MH,186€–;;2Q›8_,Œ4D„’4Y,žR,‹5_C‹5YV20CM,N1E582/3VH,VŽAA,‹5YVE,NHW,,MŒLM6,N€H‘MH„LBN“,HIAL„2€2HM€36,EF††€537;8FL478NS,7152LF93;QLDSŸ„”LLLŽ™;8F_ŸHM28;”_„‘MH,H†I2€2HM19413B24NULLOMOM‹5T„‚Q‹NULL‹5THW326513S,THW357S,|V”63542F,S_€›_,8‚†Fƒ,‚LM€‹5_HC‘MH,_,A’\0,9Y‹5†,3N‹5†S_€,›_,’‹5Ž8BS‹59FLHSED,H4,‹5›BS_€}‹5’4,_V‚AQ‹BOMOM‹5MVQ„9K,XRž30SOQ,_D4AMHX“B,M2A‹5AUYBMDTRQA4,/MHWG‹56LHP4žC20S,A4D3TRQ,†€_;ŒOMOM‹5_D,M€Ÿ’4,‚€_V1›,9•Y‹5LYVHW4B3NULLN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