2448例小儿胃镜检查结果分析  

Analysis of 2448 Cases of Pediatric Gastroscopy Findings

作　　者：王宝林[1] 蒋成鹏[1] 连娇燕 徐晓红[1] Wang Baolin;Jiang Chengpeng;Lian Jiaoyan;Xu Xiaohong(Gansu Maternal and Child Health Hospital(Gansu Provincial Center Hospital),Lanzhou 730050,Gansu Province,China)

机构地区：[1]甘肃省妇幼保健院(甘肃省中心医院),甘肃兰州730050

出　　处：《中外医药研究》2024年第7期144-146,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析2448例小儿胃镜检查结果,探究小儿上消化道疾病的临床表现及主要疾病谱。方法:选取2017年1月—2020年12月于甘肃省妇幼保健院行胃镜检查的0~15岁患儿2448例作为研究对象,就疾病类型、年龄段、症状等维度的诊断结果进行分析。结果:行胃镜检查患儿2448例中,浅表性胃炎1529例,消化道异物201例,上消化道狭窄266例,消化性溃疡103例,过敏性紫癜51例,食管炎53例,其他147例,以浅表性胃炎为主。浅表性胃炎患儿幽门螺杆菌阳性率为15.4%,上消化道狭窄以食管狭窄为主(74.8%),上消化道溃疡以十二指肠溃疡为主(59.2%)。0~15岁以腹痛腹胀为主诉患儿诊断为浅表性胃炎914例(81.7%);以恶心呕吐为主诉患儿多诊断为上消化道狭窄195例(30.4%);以消化道出血为多主诉患儿多诊断为浅表性胃炎74例(42.2%)。结论:小儿上消化道疾病中以浅表性胃炎发病率最高,上消化道狭窄、消化道异物、上消化道溃疡、过敏性紫癜及食管炎等在各年龄段发病率有所不同,在临床工作中予以重视,及时予以诊断,避免影响治疗效果。Objective:To analyze the results of two thousand four hundred and forty-eight cases of pediatric gastroscopy,and to investigate the clinical manifestations and the main disease spectrum of pediatric upper gastrointestinal tract diseases.Methods:Two thousand four hundred and forty-eight cases of children aged 0-15 years who underwent gastroscopy in Gansu Maternal and Child Health Hospital from January 2017 to December 2020 were selected as the study subjects,and the diagnostic results in terms of disease types,age groups,symptoms and other dimensions were analyzed.Results:Among the two thousand four hundred and forty-eight children who underwent gastroscopy,one thousand five hundred and twenty-nine cases of superficial gastritis,two hundred and one cases of digestive foreign bodies,two hundred and sixty-six cases of upper gastrointestinal stenosis,one hundred and three cases of peptic ulcers,fifty-one cases of anaphylactic purpura,fifty-three cases of esophagitis,and one hundred and forty-seven cases of other cases were found,with the superficial gastritis being the most predominant one;the positive rate of Helicobacter pylori in children with superficial gastritis was 15.4%,upper gastrointestinal stenosis was predominantly esophageal stenosis(74.8%),and upper gastrointestinal ulcer was predominantly duodenal ulcer(59.2%);nine hundred and fourteen cases(81.7%)of children aged 0 to 15 years with abdominal pain and distension as the main complaint were diagnosed with superficial gastritis;one hundred and ninety-five cases(30.4%)of children with nausea and vomiting as the main complaint were diagnosed with upper gastrointestinal stenosis;seventy-four cases(42.2%)of children with gastrointestinal bleeding as the main complaint were diagnosed with superficial gastritis.Conclusion:The incidence of superficial gastritis is the highest among pediatric upper gastrointestinal diseases,and the incidence of upper gastrointestinal stenosis,gastrointestinal foreign bodies,upper gastrointestinal ulcers,anaphylactic purpura,and e

关 键 词：小儿 胃镜检查 上消化道疾病 

分 类 号：R725.7[医药卫生—儿科]