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目的:探讨结肠镜对小儿大肠疾病的诊断及治疗价值。方法:对因反复血便、腹痛、腹泻、粘液血便而来就诊的1～15岁患儿205例行结肠镜检查。结果:发现病变171例,占83.4%,共检出13种疾病,其中以结肠息肉最为多见,为127例,占62%。共检出大肠息肉199颗。以直肠、乙状结肠多见、共165颗,占83%(165/199)。并在内镜下行大肠息肉电凝切除。避免过去大肠息肉开腹手术的痛苦。取得了较满意的效果,既明确了诊断又得到了治疗。结论:结肠镜是小儿大肠疾病的最佳诊断方法。在结肠镜下行小儿结肠息肉电凝切除是安全可靠的。
Objective: To explore the value of colonoscopy in the diagnosis and treatment of colorectal diseases in children. Methods: Colonoscopy was performed on 205 children aged 1 to 15 years who had come for treatment due to repeated bloody stools, abdominal pain, diarrhea and mucus bloody stools. Results: 171 lesions were found, accounting for 83.4%. Thirteen diseases were detected, of which colon polyps were the most common, 127 cases (62%). A total of 199 colorectal polyps were detected. Rectum, sigmoid colon more common, a total of 165, accounting for 83% (165/199). And endoscopic colon colorectal polyp coagulation. To avoid the pain of open surgery in the past colorectal polyps. Achieved a more satisfactory results, not only clear the diagnosis has been treated. Conclusion: Colonoscopy is the best diagnostic method for colorectal diseases in children. Pediatric colon polyp coagulation under colonoscopy is safe and reliable.