小儿纤维胃镜检查92例分析

Endoscopic analysis of 92 cases of children

目的：分析小儿胃镜检查的结果和探讨小儿胃镜检查的方法和技术。方法：以１９８７年１月至１９９７年１月间在我科行胃镜检查的９２ 例患儿为研究对象。结果：９２例患儿用不同型号内镜顺利完成检查，发现上胃肠道病变８０例，检出率８８．０％；常见的有慢性浅表性胃炎５８例，十二指肠炎 １７例，十二指肠溃疡１１ 例，异物９例；病人中多数年龄在 ７～１４岁；幽门螺杆菌感染的阳性率为２２．２％。结论：小儿上胃肠道疾病和幽门螺杆菌感染是常见的，且随着年龄的增加而增多；由熟练的内镜医生使用不同型号的成人胃镜检查小儿是可行而安全的。

Objective: To analyse the results of endoscopy for children and discuss the method and technique of endoscopy for children. Methods: 92 cases of children who were examined with endoscopes in our department during January 1987 to January 1997 were investigated. Results:92 cases of children were easily examined with different types of endscopes. 80 cases (88.0% ) of upper gastrointestinal disease were found in 92 cases of children. Among them, the common diseases were chronic superficial gastritis (58 cases), duodenitis (17 cases), duodenal ulcer (11 cases) and foreign body (9 cases). Most of these patients were 7-14 years Old. 22. 2% of these patients had H. pylori infection. Conclusions: The upper gastrointestinal disease and H. Pylori infection are commom in children, Their incidences are increasing with age, and it is practicable and safe that the children are examined by the veteran endoscopic doctors using different types of endoscopes for adults.