534例儿童胃镜临床分析  

Clinical analysis of 534 children undergoing gastroendoscopy

作　　者：陈东风[1] 刘重阳[1] 周世亮[1] 彭安国[1] 冷恩仁[1] 闫庆军[1] 李平[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所消化内科,重庆400042

出　　处：《第三军医大学学报》2004年第20期1872-1874,共3页Journal of Third Military Medical University

摘　　要：目的　总结儿童胃镜临床应用价值及儿童胃镜检查疾病谱。方法　对我院 2 3年来 ( 1980至今 )年龄 14岁以下的儿童胃镜检查资料进行回顾性分析。结果　 5 3 4例患儿中 ,胃镜检查发现主要疾病是慢性浅表性胃炎 2 5 5例 ,球部溃疡 71例 ,胃溃疡 2 9例 ,复合性溃疡 11例 ,胆汁反流性胃炎 5 8例 ,十二指肠球炎 3 7例 ,糜烂性胃炎 19例 ,食管异物 15例 ,食管静脉曲张 6例 ,食管炎 5例 ,胃息肉 4例 ,其它 12例。 1988年以后的 498例中 40 1例行幽门螺杆菌 (Helicobacterpylori,Hp)检查 ,2 0 8例Hp( +) ,Hp检出 5 1 9%。结论　儿童上消化道疾病以炎症和溃疡病最常见 ,与成人相比儿童Hp感染率较低。儿童胃镜检查对儿童上消化道疾病诊治有重要价值。Objective To evaluate the clinical value of gastroscopic examination of children. Methods A total of 534 children aged 3-14 years with upper digestive symptoms were subjected to gastroendoscopy during 1980-2003. The results of gastroscopic examination were analyzed retrospectively. Results Gastroscopy showed that chronic supperficial gastritis, duodenal ulcer, bile-reflex gastritis, and gastric ulcer were found in 255, 71, 58, and 29 cases out of the 534 cases. Positive test for Helicobacter pylori (Hp) was found in 51.9% of 401 cases. Conclusion The most common diseases in upper digestive tract are gastritis, duodenalitis, and peptic ulcer in childhood. Endoscopy is a safe and effective diagnostic and therapeutic method for children with upper digestive symptoms.

关 键 词：胃镜检查 儿童 上消化道疾病 临床分析 胃息肉 常见 球部 结论 目的 资料 

分 类 号：R573[医药卫生—消化系统] R735[医药卫生—内科学]