北京地区2430例小儿消化道疾病胃镜分析  

Analysis of gastroscopies presentation of 2430 Beijing children with digestive tract disease

作　　者：杨燕[1] 闫慧敏[1] 季之颖[1] 李铭[1] 张丽荣[1] 

机构地区：[1]首都医科大学附属北京儿童医院,100045

出　　处：《北京医学》2005年第9期525-527,共3页Beijing Medical Journal

摘　　要：目的探讨儿童消化道疾病的胃镜下表现及与幽门螺杆菌(Hp)的相关性。方法选择2430例消化道疾病患儿进行胃镜检查,其中2025例行胃黏膜快速尿素酶检测,1892例行胃黏膜病理学检查,并进行系统分析。结果2430例患儿中检出病变2043例(84.1%),其中浅表性胃炎1014例(41.7%),十二指肠炎355例(14.6%),浅表性胃炎合并十二指肠炎302例(12.4%),十二指肠球部溃疡254例(10.5%),胃溃疡47例(1.9%),食管及(或)胃底静脉曲张23例(0.9%),食管炎14例(0.58%),苍白胃粘膜10例(0.4%),息肉3例(0.1%),异物9例(0.4%),幽门梗阻3例(0.1%),贲门痉挛、幽门痉挛各1例;2025例快速尿素酶检测中Hp阳性731例;1892例病理学检查中Hp阳性1047例。Hp阳性主要疾病分别为十二指肠球部溃疡171例(171/232),胃溃疡24例(24/41),浅表性胃炎317例(317/963),十二指肠炎101例(101/369),浅表性胃炎合并十二指肠炎99例(99/275)。结论胃镜检查对诊断小儿消化道疾病具有重要意义。Objective To explore the gastroscopies presentation of children with digestive tract disease and the relationship between digestive tract diseases and helicobacter pylori（Hp） infection. Methods 2430 cases were undertaken gastroscopy, 2025 cases were tested by rapid-urease-test of mucous membrane for Hp identification, and 1892 cases were examined histologically. Results 2430 cases （84.1%） were found to have digestive tract diseases. The superficial gastritis, duodenitis, and peptic ulcer were common. The occurence of superficial gastritis, duodenitis, duodenal ulcer and gastric ulcer was 41.7%, 14.6%, 10.5% and 1.9% respectively; 731cases had Hp infection by rapid-urease test method and 1047 cases were positive by histological examination. The detective rate was 36.1% （731/2025） and 55.3% （1047/1892）. The common diseases with I-Ip were duodenal ulcer, gastric ulcer, superficial gastritis and duodenitis. Conclusions Children＇s gastroscopy examination is very important in diagnosing children＇s digestive tract diseases.

关 键 词：北京 小儿 消化道疾病 胃镜 幽门螺杆菌 胃黏膜 病理学检查 

分 类 号：R725.7[医药卫生—儿科] R725.73[医药卫生—临床医学]