105例未成年人结肠镜检查的回顾性研究

Retrospective study of 105 colonoscopy in minors

目的探讨未成年人行结肠镜检查的原因、检查情况及检出疾病特征。方法回顾性分析行结肠镜检查的105例未成年人的临床资料及肠镜结果,按年龄分为0～6岁组、7～14岁组、15～18岁组。结果 105例患者行结肠镜检查的主要原因为便血、腹痛;盲肠插管率79. 8%。共检出肠道病变70例,主要为息肉及炎症性肠病。0～6岁组息肉检出率最高;幼年性、腺瘤性息肉常见;0～6岁组腺瘤性息肉、息肉伴低级别上皮内瘤变较其他两组常见。结论便血及腹痛是未成年人行结肠镜检查的主要原因。息肉及炎症性肠病为主要肠道病变。0～6岁腺瘤性息肉及息肉伴低级别上皮内瘤变检出率最高。

Objective To explore the cause,condition and disease features of the colonoscopy of the minors.Methods A retrospective analysis was performed on the colonoscopy results and clinical data of 105 minors who underwent colonoscopy. The patients were divided into 0 ~ 6 years group,7 ~ 14 years group and 15 ~ 18 years group. Results The main reasons for colonoscopy of 105 cases were hematochezia and abdominal pain. The cecal intubation rate( CIR) was 79. 8%. 70 cases were detected to have colorectal lesions,and the major lesions were polyps and inflammatory bowel disease. The detection rate of polys in the 0 ~ 6 years group was highest among all the groups. Juvenile polyps and adenomatous polyps were the main pathological manifestations. The detection rates of adenomatous polyps and polyps with low grade intraepithelial neoplasia in 0 ~ 6 years group were higher than those in the other two groups. Conclusion Hematochezia and abdominal pain are the main causes of colonoscopy for minors. Polyps and inflammatory bowel disease are the most common colorectal lesions in all age groups. The detection rate of adenomatous polyps and polyps with low grade intraepithelial neoplasia are the highest in the 0 ~ 6 years group.