成人电子胃镜在136例小儿慢性腹痛中的病因诊断  

Diagnosis of pathogenesis by adult electronic gastroscope in 136 pediatric chronic abdominal pain cases

作　　者：陈海生[1] 张丽华[1] 李仙花[1] 

机构地区：[1]福建医科大学附属龙岩第一医院,364000

出　　处：《中国实用医药》2016年第2期27-29,共3页China Practical Medicine

摘　　要：目的对原因不明的慢性腹痛小儿进行成人电子胃镜检查,评价成人电子胃镜在原因不明的慢性腹痛患儿中的应用价值。方法应用日产Olympus型及日产Fujinon型成人电子胃镜对136例慢性腹痛小儿进行检查。结果除1例学龄儿童检查中途呕吐明显,自行拔出胃镜镜身,不能完成,其余135例患儿全部顺利完成胃镜检查,其中慢性浅表性胃炎102例(75.00%),十二指肠球炎18例(13.24%),消化性溃疡6例(4.41%),9例未见异常,总检出率达92.65%。结论慢性浅表性胃炎、十二指肠球炎、消化性溃疡是小儿慢性腹痛主要病因,原因不明的慢性腹痛小儿进行成人电子胃镜检查有重要的诊断价值。Objective To apply adult electronic gastroscope for examination for children with unexplained chronic abdominal pain, and to evaluate application value of adult electronic gastroseope in unexplained chronic abdominal pain. Methods Japanese Olympus and Fujinon adult electronic gastroseope were applied in examination for 136 children with ehronie abdominal pain. Results With the exception of 1 child with failed gastroscope due to obvious vomit during examination, the other 135 children all had successful gastroscope examination. Among them, there were 102 cases with chronic superficial gastritis （75.00%）, 18 caseswith duodenal bulbar inflammation （13.24%）, 6 cases with peptic ulcer （4.41%）, and 9 cases without abnormality. The total detection rate was 92.65%. Conclusion Chronic superficial gastritis, duodenal bulbar inflammation, and peptic ulcer were main pathogenesis of pediatric chronic abdominal pain. Implement of adult electronic gastroscope contains important diagnostic value for children with unexplained chronic abdominal pain.

关 键 词：成人电子胃镜 慢性腹痛 诊断 

分 类 号：R725.7[医药卫生—儿科]