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目的:探讨胶囊内镜在老年患者消化道疾病诊断中的应用。方法:对129例行OMOM胶囊内镜检查的患者资料行回顾性分析。结果:129例患者中完成胶囊内镜检查118例,发现异常103例,阳性检出率87.3%。发现食管、胃、小肠、结肠病变分别为3例、38例、92例、7例,占阳性发现率分别为2.9%、36.9%、89.3%、6.8%。完成胶囊内镜检查的91例消化道出血患者和25例腹痛、腹泻患者分别发现小肠病变75例(82.4%)和17例(68%)。其中黏膜下隆起及新生物、炎症病变和血管病变最为常见。检查过程中患者无任何不适。结论:OMOM胶囊内镜检查方法安全性好,对老年患者消化道疾病有较高的诊断价值。建议检查前对患者身体进行适当的评估,采取相应措施提高检查质量。
Objective: To explore the application of capsule endoscopy in the diagnosis of digestive diseases in elderly patients. Methods: A retrospective analysis of 129 patients with OMOM capsule endoscopy was performed. Results: Of the 129 patients completed capsule endoscopy in 118 cases, found abnormal 103 cases, the positive detection rate was 87.3%. The esophageal, gastric, small intestine and colon lesions were found in 3 cases, 38 cases, 92 cases and 7 cases, respectively. The positive rates were 2.9%, 36.9%, 89.3% and 6.8% respectively. Ninety-one patients (82.4%) and 17 patients (68%) with small bowel lesions were found in 91 patients with gastrointestinal bleeding who underwent capsule endoscopy and 25 patients with abdominal pain and diarrhea. Submucous uplift and neoplasms, inflammatory lesions and vascular lesions are the most common. Patients without any discomfort during the examination. Conclusion: OMOM capsule endoscopy is safe and has high diagnostic value for digestive diseases in elderly patients. It is recommended to check the patient’s body before the appropriate assessment, take appropriate measures to improve the quality of inspection.