胃镜检查在儿童消化道疾病诊治中的价值

Clinical value of gastroscopic examination in the diagnosis and treatment of gastrointestinal diseases in children

目的 探讨小儿上消化道疾病的发病率及与幽门螺杆菌 (HP)感染的相关性。方法 对临床疑似上消化道疾病的 5 6 4例小儿进行胃镜检查及快速尿素酶试验检测 2 2 3例胃黏膜HP。结果 5 6 4例中成功检查 5 6 3例 ,检出疾病 5 34例 ,其中浅表性胃炎 32 4例、消化性溃疡 112例、十二指肠球炎 89例。 2 2 3例HP检测中 ,总阳性率 4 5 2 9% ,其中十二指肠球部溃疡 6 3 4 9% (40 / 6 3)、浅表性胃炎 39 84 % (49/12 3)、十二指肠球炎 37 5 0 % (9/ 2 4 )、胃溃疡 2 8 5 7% (2 / 7)。结论 小儿胃镜检查是一种安全、可靠的方法。

Objective To explore the incidence of upper digestive tract diseases and the relationship to helicobacter pylori (HP) infection in pediatric patients. Methods Gastroscopy was undergone in 564 pediatric patients with upper digestive tract diseases . HP measurement in gastric mucosa was undertaken by fast urease test in 223 cases. Results Positive diagnoses were obtained on 534 in 563 cases. Gastritis was the commonest disease (324 cases), followed by peptic ulcer and duodenitis (112 cases and 89 cases). No case of malignancy was found. HP was detected in 223 of 563 patients and the total positive rate of HP infection was 45 29%. Duodenal ulcer?superficial gastritis ?duodenitis and gastric ulcer were 63 49%, 39 84%, 37 50% and 28 57%, respectively. Conclusion Pediatric gastroscopy is a safe and useful in the diagnosis and therapentic intervention for gastrointestinal diseases in children and should be applied widely. There is the highest HP infective rate in duodenal ulcer.