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目的 探讨小儿上消化道疾病的发病率及与幽门螺杆菌 (HP)感染的相关性。方法 对临床疑似上消化道疾病的 5 6 4例小儿进行胃镜检查及快速尿素酶试验检测 2 2 3例胃黏膜HP。结果 5 6 4例中成功检查 5 6 3例 ,检出疾病 5 34例 ,其中浅表性胃炎 32 4例、消化性溃疡 112例、十二指肠球炎 89例。 2 2 3例HP检测中 ,总阳性率 4 5 2 9% ,其中十二指肠球部溃疡 6 3 4 9% (40 / 6 3)、浅表性胃炎 39 84 % (49/12 3)、十二指肠球炎 37 5 0 % (9/ 2 4 )、胃溃疡 2 8 5 7% (2 / 7)。结论 小儿胃镜检查是一种安全、可靠的方法。儿童HP感染以十二指肠球部溃疡居高
Objective To investigate the incidence of upper gastrointestinal diseases in children and the correlation with Helicobacter pylori (HP) infection. Methods Gastroscopy and rapid urease test were used to detect 224 cases of gastric mucosal HP in 564 children with clinically suspected upper gastrointestinal diseases. Results Among 564 cases, 563 cases were successfully examined, and 5 34 cases were detected. Among them, 324 cases of superficial gastritis, 112 cases of peptic ulcer and 89 cases of duodenal inflammation. The total positive rate of 452 9% was detected in 223 cases of HP, including 62 34% (40/63) of duodenal ulcer, 39 84% (49/123) of superficial gastritis, 375 0% (9/2 4) of duodenal inflammation, and 2 857% (2/7) of gastric ulcer. Conclusion Gastroscopy in children is a safe and reliable method. HP infection in children with duodenal ulcer high