结肠气钡双重造影对小儿大肠息肉诊断价值的探讨

The Value of Double Contrast Barium Enema in the Diagnosis of Children's Colonic Polyp

目的 总结结肠气钡双重造影在小儿大肠息肉中的应用方法并评价诊断价值。材料与方法 对 84例疑诊大肠息肉便血患儿行结肠气钡双重造影且对其中 46例作纤维肠镜诊治对照。结果 84例中因粪便、气泡影响出现 6例假阳性 ,3例假阴性 ,检出率达 89%。结论 结肠双重气钡造影对儿童完全适用 ,且对大肠息肉的检出具有操作简单、X线投照时间短。

Objective To sum up the technique of double contrast barium enema (DCBE) for children's colonic polyp, and to evaluate DCBE in its diagnosis.Materials and Methods DCBE was performed in 84 cases with hematochezia and suspicious of colonic polyp, of which 46 cases underwent colonoscopy for further confirmation or therapy.Results Because of the interference of stool and air bubbles some cases were misdiagnosed, including false positive in 6 and false negative in 3 cases.Conclusion DCBE is an easy and simple technique with less X ray exposure and high detecting rate, quite suitable for diagnosing children's colonic polyp.