106例儿童肠镜检查结果分析  

Analysis of colonoscopy results in 106 children

作　　者：牟韶娇[1,2] 李娜[1] 王海红[1] 晨智敏[1] 金鹏[1] 赵晓军[1] 付蕾[1] 李爱琴[1] 余东亮[1] 王昕[1] 盛剑秋[1] 

机构地区：[1]北京军区总医院消化内科,北京100700 [2]山西医科大学

出　　处：《胃肠病学和肝病学杂志》2011年第6期535-537,共3页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨儿童肠镜检查的实用价值及其临床意义。方法使用日本OlympusP240电子结肠镜对106例患儿进行肠镜检查,根据患儿临床症状和依从性选择肠道准备方法,术中发现息肉即于镜下行电凝电切术切除。对106例患儿的临床及肠镜检查资料进行整理及回顾性分析。结果 106例结肠镜检查中,无1例出现并发症;镜检全结肠未见异常25例,发现病变81例,明确诊断率为76.42%。42例患儿存在大肠息肉,给予电凝点切及氩离子凝固治疗,均未发生出血、穿孔等并发症;息肉病理检查结果:潴留性息肉28例,占66.67%;炎性息肉11例,占26.19%;错构瘤1例,占2.38%;腺瘤2例,占4.76%。结论大肠息肉是小儿下消化道出血的重要原因,多见于婴幼儿和学龄前儿童。小儿肠镜检查及息肉电切治疗安全有效、诊断率高,具有重要的临床价值。Objective To discuss the value and clinical significance of colonoscopy in children. Methods Coloscopy was performed on 106 children （male 61, female 45） with OlympusP240. According to the clinical symptoms and compliance of children, different bowel preparations were selected. All polyps underwent electrocision. A retrospective study was performed in 106 children＇ clinical and endoscopic examination data. Results No complication occurred in the colonoscopy. The examination results in 81 cases were abnormal and the diagnostic rate was 76.42%. Forty-two children were with large intestinal polyps and intestinal polyps underwent electrocision. None of the patients occurred complications such as haemorrhage or perforation. Pathological examination of polyps showed retention polyps in 28 cases （66.67%） , inflammatory polyps in 11 cases （26. 19% ） , hamartoma in 1 case （2.38%） and adenoma in 2 cases （4.76 % ）. Conclusion Colorectal polyp in children is an important cause of lower gastrointestinal bleeding and it is more common in infants and preschool children. Pediatric colonoscopy and polyp resection are safe and effective in diagnosis and treatment in children with intestinal diseases.

关 键 词：儿童 肠镜检查 息肉 

分 类 号：R574[医药卫生—消化系统]