电子胃镜在婴儿上消化道疾病中的诊疗价值

Value of Electronic Gastroscopy in the Diagnosis and Treatment of Upper Gastrointestinal Disease in Infants

【目的】评价电子胃镜在婴儿胃肠疾病中的诊疗价值。【方法】总结分析本院32例1岁以下婴儿上消化道疾病电子胃镜检查结果。【结果】32例婴儿中31例具有胃部病变，胃镜病变检出率为96．9％（31／32）。检出病变主为：糜烂性胃炎18例，幽门肥厚性狭窄5例，十二指肠球炎4例（其中1例合并糜烂性胃炎），幽门管溃疡1例，消化道异物2例，血管瘤1例。【结论】婴儿上消化道疾病在临床上有其独特性，糜烂性胃炎发病率较高，其次为先天性疾病。胃镜检查在婴儿上消化道疾病的诊疗中有重价值。

Objective To evaluate the value of electronic gastroscopy in the diagnosis and treatment of upper gastrointestinal disease in infants. KMethodsl The results of electronic gastroscopy of 32 infants（aged lower than one years old） with upper gastrointestinal disease in our hospital were summarized and analyzed. EResultslAmong 21 infants, 31 infants had gastric lesions. The detection rate of gastroscopy was 96.9% （31/ 32）. The main lesions were erosive gastritis in 18 patients, hypertrophic pyloric stenosis in 5 patients, duode- nal bulb inflammation in 4 patients including one patient with erosive gastritis, pyloric canal ulcer in one pa- tient, gastrointestinal foreign bodies in 2 patients and hemangioma in one patient. EConclusionl Infants with upper gastrointestinal disease in clinical practice is special. The incidence of erosive gastritis is higest, and that of congenital disease is the second. Gastroscopy is of great value in the diagnosis and treatment of upper gas- trointestinal disease in infants.