经鼻胃镜在儿科临床的应用  

Application of transnasal gastroscopy in clinical pediatrics

作　　者：黄瑛[1] 邵彩虹[1] 张冰峰[1] 王小卉[1] 庄燕华[1] 

机构地区：[1]复旦大学附属儿科医院消化科,上海200032

出　　处：《中国内镜杂志》2009年第2期149-151,共3页China Journal of Endoscopy

摘　　要：目的探讨使用经鼻胃镜检查在儿科临床应用的价值和前景。方法儿科医院预约胃镜检查的28名患儿作为研究对象,平均8.89岁,所有患儿均从鼻腔进镜,完成对食管、胃和十二指肠的胃镜观察,并行幽门螺旋杆菌快速检测和病理活检。结果经鼻胃镜比较适合于>5岁的儿童。其诊断符合率96.8%(27/28),受检患儿恶心、反胃等不良反应较少(14.3%)。结论经鼻胃镜作为胃镜领域的新成员,用于儿科临床,检查结果可靠。ObjectiveTo analyze and summarize our experience in the use of the Fujinon EG 470-N transnasal gastroscope in our center, and to explore its application in clinical pediatrics： its current value and future potentials. MethodsTo analyze the use of the endoscope in 28 scheduled patients whose average age was 8.89 years. All patients were endoscoped transnasally with complete examination of the esophagus, stomach and duodenum and gas-tric biopsy for H. pylori rapid test and pathological examination.ResultsTransnasal gastroscopy was more suitable in patients older than 5 years of age. The rate of same diagnose under transnasal gastroscopy was 96.8%, according to pathologic diagnosis. Only 14.3% patients experienced nausea and regurgitation. ConclusionTransnasal gas-troscopy, being a new member in the field of gastrointestinal endoscopy, is totally acceptable in clinical pediatrics. The procedure is reliable, safe and better accepted by patients.

关 键 词：经鼻胃镜 儿童 麻醉 

分 类 号：R765.041[医药卫生—耳鼻咽喉科]