小儿先天性巨结肠的大肠镜下表现  

The features of Hirschsprung's disease under colonoscopy

作　　者：黄茂华[1] 魏文琼[1] 赵玉霞[1] 代怡然[1] 李春娣[1] 罗正利[1] 刘海峰[2] 

机构地区：[1]湖北省武汉市儿童医院普外科,湖北武汉430016 [2]上海市儿童医院消化科,上海200040

出　　处：《中国内镜杂志》2011年第12期1293-1296,共4页China Journal of Endoscopy

摘　　要：目的探讨大肠镜下小儿先天性巨结肠(HD)的影像学特点。方法对2000年～2010年该院运用大肠镜检查118例HD进行观察,总结HD镜下表现、术前并发症的诊治。结果 118例患者中,经大肠镜检查考虑为HD者107例,HD术前并发症诊治:并发结肠炎97例;结肠溃疡11例;粪石10例,均内镜下碎石处理;内镜诊断并切除肠息肉7例。结论大肠镜下HD结肠皱襞和肠腔直径有明显变化;可直观显示HD术前并发症,为充分术前准备提供依据。Objective To investigate the feature of Hirschsprung＇s disease （HD） in children under colonoscope.Methods 118 patients of HD between 2000 and 2010 in our hospital were observed and the manifestations under colonoscope were summarized.Result 107 cases were confirmed as HD by colonoscopy.97 patients of HD were complicated by colonitis under colonoscope,and 11 patients were combined with colonic ulcer,10 patients had stercorolith,which had been galetted.7 patients were diagnosed as polyp intestinal.Conclusion The alteration of colon plica and diversity of the diameter in patients of HD can be observed under colonoscopy,and the complications before operation can be displayed directly.

关 键 词：儿童 先天性巨结肠 结肠镜检查 

分 类 号：R656.9[医药卫生—外科学]