C^(13)-尿素呼气试验联合胃镜诊断慢性上腹痛儿童幽门螺杆菌感染

The Diagnostic Value of C^(13)-urea Breath Test Combined Gastroscopy in Pediatric Patients with Chronic Upper Abdominal Pain

目的:探讨C13-尿素呼气试验(13C-UBT)在慢性上腹痛儿童幽门螺杆菌(Hp)感染中的诊断价值及胃镜下Hp感染的病理学特征。方法:对340例慢性上腹痛儿童进行C13-尿素呼气试验,阳性者再行胃镜及病理学检测。结果:340例慢性上腹痛儿童中13 C-UBT Hp阳性者105例,再行胃镜检测发现Hp阳性103例,符合率达99.00%。结论:13C-UBT是较好的Hp检查方法,对有症状及13C-UBT阳性者进行胃镜检测有助诊断。

Objective To explore the diagnostic value of C13-urea breath test(13C-UBT) for Helicobacter pylori(Hp) infection in pediatric patients with chronic upper abdominal pain and the pathologic characteristic of Hp infection under endoscopy.Methods 13C-UBT were performed in 340 pediatric patients with chronic upper abdominal pain,in which the positive patients were given endoscopy and pathologic examination.Results There were 105 cases of 13C-UBT positive,in which 103 cases were confirmed Hp infection positive with gastroscopy,the coincidence was high to 99.00%.Conclusion 13C-UBT may be a valuable method to diagnose Hp infection,the gastroscopy may be helpful to further confirm.