反复腹痛儿童胃镜检查的临床意义  

Clinical Significance in Children with Recurrent Abdominal Pain Gastroscopy

作　　者：曲岩杰 

机构地区：[1]黑龙江省巴彦县人民医院,151800

出　　处：《中国卫生标准管理》2015年第6期119-120,共2页China Health Standard Management

摘　　要：目的：通过对儿童反复腹痛胃镜检查结果进行分析，了解儿童腹痛的病因。方法选择以腹痛为主要主诉欲行胃镜检查的患儿80例，详细询问其病史，统一采用日本富士能EG．250PE电子胃镜检查。结果80例慢性腹痛患儿胃镜检查结果显示，浅表性胃炎38例（47.5%）；浅表性胃炎合并十二指肠球炎20例；浅表性胃炎合并胆汁返流9例；十二指肠球部溃疡8例；十二指肠多发性息肉1例；胃憩室l例；食道息肉1例；消化道快速尿素酶检测幽门螺旋杆菌阳性65.0%，其中10～15岁幽门螺旋杆菌感染率高。结论小儿腹痛的病因复杂，对于反复发作性腹痛的患儿应尽早行胃镜检查明确诊断。Objective Based on the results of children with recurrent abdominal paingastroscopy analysis,understanding the etiology of abdominal pain in children. MethodsAbdominal pain as the main complaints for gastroscopy in 80 cases,asked in detail about the history,unified use Japan Fuji EG.250PE electronic gastroscopy.Results 80 cases of children with chronic abdominal pain gastroscope examination showed that 38 cases of superficial gastritis （47.5%）; Chronic Superficial Gastritis with duodenal bulbar inflammation in 20 cases; superficial gastritis with bile reflux in 9 cases;8 cases of duodenal ulcer; 1 cases of duodenal polyposis; gastric diverticulum in 1 lcases; esophageal polyps; gastrointestinal rapid urease test positive for H.pylori 65%,of which 10 ～ 15 years old of Helicobacter pylori infection rate is high.Conclusion Thecause of abdominal pain in children is complex,for recurrent abdominal pain in childrenshould do gastroscopy diagnosis.

关 键 词：腹痛 儿童 胃镜 

分 类 号：R725.7[医药卫生—儿科]