108例儿童肠镜检查结果分析及治疗体会  

Analysis of colonoscopy results and treatment experience in 108 children

作　　者：朱丹荣[1] 盛伟松[1] 江百练[2] 

机构地区：[1]南京医科大学第二附属医院儿童消化内镜中心,南京210000 [2]江苏省第二中医院肛肠外科,南京210007

出　　处：《重庆医学》2014年第29期3916-3917,3920,共3页Chongqing medicine

摘　　要：目的探讨儿童电子肠镜的实用价值和临床意义。方法使用日本Olympus PCF-Q260JI电子肠镜对108例患儿进行肠镜检查,术中发现息肉即在内镜下切除。对108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 108例肠镜检查中,105例顺利到达回盲部,检出病变者98例,其中最常见的病变是大肠息肉65例,息肉共计216枚。65例息肉患者行不同方式的切除术,均未发生出血、穿孔等并发症;息肉以单发息肉为主,病变部位以直肠乙状结肠为主,息肉病理以幼年性息肉为主。结论大肠息肉是儿童肠镜检查重要病因,小儿肠镜检查安全,结果可靠,具有诊断和治疗的双重作用。Objective To discuss the value and clinical significance of colonoscopy in children .Methods Colonoscopy was per-formed on 108 children with Olympus（PCF-Q260JI） .All polyps underwent electrocision .A retrospective study was performed in 108 children′s clinical and endoscopic examination data .Results 105 in 108 colonoscopy cases arrived at ileocesus successfully ,in which 98 cases were diseased .And the most common disease was colorectal polyps（65 cases） ,and 216 polyps were found .The 65 patients were performed resection in different ways ,and none bled and perforated;colorectal polyps were mainly single polyps .The lesions were often seen in proctosigmoid ,and mostly were juvenile polyps .Conclusion According to colonoscopy ,colorectal polyp is a important cause of disease .Colonoscopy is safe and reliable ,which can be very useful in diagnosis and treatment .

关 键 词：儿童 息肉 肠镜 

分 类 号：R725.7[医药卫生—儿科]