应用结肠镜诊治小儿便血体会

The Diagnosis and Treatment of Hematochezia in Children with Colonoscope

目的 :探讨结肠镜对小儿便血的诊断与治疗价值。方法 :清洁肠道后采用结肠镜对 5 2例便血小儿进行检查和治疗。结果 :4 9例 (94 .2 % )患儿在镜下得以明确诊断 ,其中大肠息肉 31例 (6 3.3% ) ,大肠炎 9例 (18.4 % ) ,溃疡性结肠炎 1例 (2 .0 % )肛周疾病 8例 (16 .3% ) ,31例经结肠镜电切 31颗息肉 ,无严重并发症。结论 :大肠息肉是小儿便血的主要原因 ;结肠镜在小儿便血的诊断和治疗中是较为有效和安全的 ,可达诊断和治疗的双重目的。

Objective: To evalue the application of co lonoscopy hematochezia in children.Methods: 52 cases with hematochezia underwent diagnostic and/or therapeutic colonoscopy. Results:The definite diagnosis was finally made in 49 cases(94.2 %), among them 31 cases(63.3%) were colorectal polyps,9 cases(18.4%) were co lorectitis,1 cases(2.0%) were ulcerative colitis,8cases(16.3%)were perianal dise ases.Totally 31 cases underwent electrocision,and 31 polyps were removed.Conclusion:Colonoscopy not only has high diagnostic rate,but als o possess therapeutic function.It is a safe and effective method for the diagnos is and treatment of hematochezia in children.