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目的探讨儿童肠镜检查的实用价值及其临床意义。方法使用日本OlympusP240电子结肠镜对106例患儿进行肠镜检查,根据患儿临床症状和依从性选择肠道准备方法,术中发现息肉即于镜下行电凝电切术切除。对106例患儿的临床及肠镜检查资料进行整理及回顾性分析。结果 106例结肠镜检查中,无1例出现并发症;镜检全结肠未见异常25例,发现病变81例,明确诊断率为76.42%。42例患儿存在大肠息肉,给予电凝点切及氩离子凝固治疗,均未发生出血、穿孔等并发症;息肉病理检查结果:潴留性息肉28例,占66.67%;炎性息肉11例,占26.19%;错构瘤1例,占2.38%;腺瘤2例,占4.76%。结论大肠息肉是小儿下消化道出血的重要原因,多见于婴幼儿和学龄前儿童。小儿肠镜检查及息肉电切治疗安全有效、诊断率高,具有重要的临床价值。
Objective To explore the practical value of colonoscopy in children and its clinical significance. Methods Six hundred and six patients underwent colonoscopy with Olympus P240 electron microscope in Japan. According to the clinical symptoms and compliance of children, intestinal preparation was selected. Polyps were found in the patients undergoing endoscopic electrocoagulation and resection. 106 cases of children with clinical and colonoscopy data collation and retrospective analysis. Results 106 cases of colonoscopy, no complications occurred in one case; microscopic examination of the whole colon no abnormalities in 25 cases, found 81 cases of lesions, the definite diagnosis rate was 76.42%. 42 cases of children with colorectal polyps, coagulation and argon plasma coagulation were given, no bleeding, perforation and other complications; polyp pathological examination results: retention of polyp in 28 cases, accounting for 66.67%; inflammatory polyps in 11 cases, Accounting for 26.19%; hamartoma in 1 case, accounting for 2.38%; adenoma in 2 cases, accounting for 4.76%. Conclusion Colorectal polyps is an important cause of children with lower gastrointestinal bleeding, more common in infants and preschool children. Pediatric colonoscopy and polyps resection of the safe and effective, high diagnostic rate, has important clinical value.