摘要
目的:探讨小肠胶囊内镜(SBCE)未完成全小肠检查(UCSE)的危险因素。方法:对2007年3月至2012年3月于重庆医科大学附属第二医院与2010年2月至2018年8月于广东医科大学附属医院行SBCE检查的397例受检者临床资料进行回顾性分析。结果:SBCE完成全小肠检查率为89.4%。UCSE组通过幽门时间明显长于完成全小肠检查组(81.39 min vs 48.04 min,P=0.002)。多因素Logistic回归分析显示,SBCE通过幽门时间>45min(OR=2.122,P=0.043)、胆汁反流(OR=3.846,P=0.003)、钩虫(OR=3.704,P=0.033)或寄生虫(钩虫、蛔虫)(OR=5.215,P=0.003)是UCSE的危险因素。结论:SBCE通过幽门时间>45 min、胆汁反流、寄生虫(钩虫、蛔虫)是UCSE的危险因素。
Objective:To investigate the risk factors of unfinished complete small-bowel examination(UCSE)by small bowel capsule endoscopy(SBCE).Methods:We retrospectively analyzed the clinical data of 397 patients undergoing OMOM SBCE in two clinical centers in central and south China from March 2007 to August 2018.Results:The rate of complete small-bowel examination was 89.4%by SBCE.In the UCSE group,there was a significantly longer time to pass through pylorus than that in the complete small-bowel examination group(81.39 min vs 48.04 min,P=0.002).Multivariate logistic regression analysis showed that more than 45 minutes of SBCE passing through pylorus(OR=2.122,P=0.043),bile reflux(OR=3.846,P=0.003),and intestinal hookworm(OR=3.704,P=0.033)or parasite(intestinal hookworm and intestinal ascariasis)(OR=5.215,P=0.003)were risk factors for UCSE.Conclusion:More than 45 min of SBCE passing through pylorus,bile reflux,and intestinal hookworm or parasite(intestinal hookworm and intestinal ascariasis)are the risk factors for UCSE.
作者
陈伟婵
陈雪峰
郑春霞
叶文桃
沈薇
庞国珍
CHEN Weichan;CHEN Xuefeng;ZHENG Chunxia;YE Wentao;SHEN Wei;PANG Guozhen(VIP Ward,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong,China;Dept.of Gastroenterology,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,Guangdong,China;Dept.of Gastroenterology,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)
出处
《武汉大学学报（医学版）》
CAS
2019年第6期995-999,共5页
Medical Journal of Wuhan University
基金
湛江市非资助科技攻关计划项目(编号:2018B01115).
关键词
小肠胶囊内镜
危险因素
胆汁反流
钩虫
未完成全小肠检查
mall Bowel Capsule Endoscopy
Risk Factors
Bile Reflux
Hookworm
Unfinished Complete Small-Bowel Examination
