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1992年1月至1998年8月,使用成人电子肠镜对14岁以下小儿结肠息肉进行诊断和治疗,取得满意效果,现报告如下。 1对象和方法 1.1一般资料 共41例计45枚息肉,男30例,女11例;年龄4～14岁,平均8.2岁,均以下消化道出血为主诉就诊。38例为单发息肉,2例各为2枚息肉,1例为3枚息肉。息肉部位:直肠25枚,乙状结肠18枚,降结肠1枚,横结肠1枚。 1.2方法 使用仪器为PENTAX EC-3801F_2,1997年后为EC-3840F。术前1天予少渣半流饮食,次日上午用开塞路排便后再用温盐水200～700ml灌肠。不用麻醉药物,术前10～15min按0.25mg/kg肌注安定,1次注射总量不应超过10mg。息肉直径
January 1992 to August 1998, the use of adult colonoscopy in children under 14 years of age for diagnosis and treatment of colon polyps, and achieved satisfactory results, are as follows. 1 Subjects and Methods 1.1 General Information A total of 41 cases, 45 polyps, 30 males and 11 females; aged 4 to 14 years, mean 8.2 years, were mainly gastrointestinal bleeding for the treatment. 38 cases of single polyps, two cases of two polyps, one case of three polyps. Polyps site: 25 rectum, sigmoid colon 18, descending colon 1, transverse colon 1. 1.2 Method The instrument used PENTAX EC-3801F_2, 1997, after the EC-3840F. One day before surgery to give less slag half-stream diet, the next morning with decongestant and then warm saline 200 ~ 700ml enema. Without anesthesia, preoperative 10 ~ 15min by 0.25mg / kg intramuscular injection stability, a total injection should not exceed 10mg. Polyps diameter