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我院自1993年3月～1997年5月行小儿纤维结肠镜检查78例,认为小儿术前肠道准备宜采用导泻+术前清洁灌肠,在基础+骶麻下纤维结肠镜检查较为安全、彻底,效果满意,有关文献报道较少,现将体会报告如下: 1 临床资料 1.1 一般资料:本组患儿78例,男性43例,女性45例;1岁以内者4例,年龄最小者5个月,～1岁15例,～3岁29例,～5岁21例,10岁以上9例。麻醉方式:全麻30例,有2例出现喉痉挛,基础+骶麻48例未出现其他并发症,临床症状:患儿血便62例,慢性腹泻16例。术前肠道准备:单纯服用20％甘露醇导泻9例,导泻+术前清洁灌肠69例。 1.2 小儿纤维结肠镜检查的适应证:(1)原因不明的下消化道出血。(2)原因不明的慢性腹泻。(3)原因不明的慢性腹痛。(4)疑与结肠有关的腹部包块。(5)钡灌肠发现结肠病变需了解病变性质及病变范围者。(6)钡灌肠正常而不能解释临床症状者。
In our hospital from March 1993 to May 1997, 78 cases of pediatric fiber colonoscopy, that preoperative intestinal preparation in children should use catharsis + preoperative cleansing enema, in the basic + sacrococcygeal colonoscopy more secure , Thorough, satisfactory results, less reported in the literature, will now experience the report as follows: 1 Clinical data 1.1 General Information: The group of 78 children, 43 males and 45 females; 1 within 4 years of age, the youngest Five months, ~ 1 year old in 15 cases, ~ 3 years old in 29 cases, ~ 5 years old in 21 cases, 10 years old in 9 cases. Anesthesia: general anesthesia in 30 cases, 2 cases of laryngeal spasm, basal + sacrococcygeal no other complications in 48 cases, clinical symptoms: 62 cases of bloody stool in children, 16 cases of chronic diarrhea. Preoperative bowel preparation: simple taking 20% mannitol catharsis in 9 cases, cathartic + preoperative clean enema in 69 cases. 1.2 Pediatric fiber colonoscopy indications: (1) unexplained lower gastrointestinal bleeding. (2) unexplained chronic diarrhea. (3) unexplained chronic abdominal pain. (4) Suspected colon-related abdominal mass. (5) barium enema colon lesions need to understand the nature of the lesion and lesions were. (6) barium enema normal and can not explain the clinical symptoms.