96例农村儿童上消化道疾病胃镜检查结果分析

Analysis of 96 children in countryside with upper digestive disease by gastroscope

目的探讨重庆地区农村儿童上消化道疾病病种及幽门螺杆菌（Hp）感染率。方法对96例具有上消化道症状的农村儿童进行胃镜检查，并在胃窦部钳取胃黏膜组织一块作Hp快速尿素酶试验。结果96例儿童在上消化道均发现有各种病变，检出率为100％，其中慢性浅表性胃炎63例、十二指肠球部溃疡13例、十二指肠球炎7例、胆汁反流性胃炎4例、蛔虫6例、钩虫3例。Hp阳性率51％（49／96），其中慢性胃炎Hp阳性率57．1％（36／63）、十二指肠球部溃疡76．9％（10／13）、十二指肠球炎28．6％（2／7）、胆汁反流性胃炎25％（1／4）。3～6岁儿童组Hp阳性率35．5％（11／31），7—12岁儿童组Hp阳性率58．5％（38／65）。结论儿童胃镜检查以慢性浅表性胃炎、十二指肠球部溃疡多见；Hp感染以十二指肠球部溃疡最高，其次是慢性胃炎，且随年龄增长而增加。

Objective To investigate the disease categories of the upper alimentary tract and the ratio of Hp infection in countryside children. Methods 96 children with complaint in upper digestive tracts underwent gastroscope and in each patient, a piece of mucosal tissue in sinus ventriculi was taken out to perform Hp urasc test. Results All of the 96 children were detected abnormal including chronic superficial gastritis （ n = 63 ）, ulcer of duodenal bulb （ n = 13 ）, enteritis of duodenal bulb （ n = 7 ）, gastritis with bile reflux （ n = 4） , erosive gastritis （ n = 2 ）, ascariasis （ n = 6）, ancylostomiasis （ n = 3）. The positive rate was 100%. 49/96 （51% ） were positive in Hp test, including 36/ 63（57.1% ） of chronic gastritis,10/13 （76.9%） of ulcer of duodenal bulb,2/7 （28.6%） of enteritis of duodenum. Hp were positive in 11（35. 5% ） in the group with age range from 3 to 6 years old and positive in 38（58.5% ） in the group with age range from 7 to 12 years old. Conclusion Chronic superficial gastritis and ulcer of duodenal bulb were the main findings in gastroscopy in children with a upper digestive tract complaint. Hp infection ratio was highest in patients with ulcer of duodenal bulb in our study, and followed by the chronic gastritis. And the infection rate increased with the age increased.