摘要
目的总结儿童胃镜对小儿上消化道疾病的检出率及儿童胃病的幽门螺杆菌(HP)感染率。方法对临床疑似上消化道疾病738例小儿进行胃镜检查,同时取胃黏膜做HP感染检测。结果浅表性胃炎372例,占50.4%;浅表性胃窦炎285例,占38.6%,其中伴局部糜烂117例,局部萎缩42例,伴胆汁反流50例;糜烂性胃炎67例,占9.1%;反流性食管炎105例,占14.2%;十二指肠球炎151例,占20.5%;十二指肠球部溃疡91例,占12.3%;球后溃疡4例;幽门管口溃疡3例;胃溃疡5例。结论儿童胃病中浅表性胃炎检出率最高,HP感染是小儿慢性胃炎及消化性溃疡的主要病因之一。儿童胃镜检查是一种安全、可靠的检查方法。
ObjectivesTo explore the detection rate of pediatric upper gastrointestinal diseases by gastroscopy and the infection rate of Helicobacter pylori （HP） in gastropathic children.MethodsGastroscopy was performed in the clinical suspected 738 children of upper digestive diseases, at the same time to check HP infection of the gas-tric.Results372 cases （50.4%） were diagnosed as superficial gastritis. 38.6% （285 cases） were antrum gastritis, including 117 cases with local erosion, 42 cases of Partial atrophy, 50 cases of bile-reflux. 67 cases （9.1%） were di-agnosed as Erosive gastritis. 14.2% （105 cases ） were Reflux esophagitis, 20.5% （151 cases） were Duodenal inflam-mation, 12.3% （91 cases） were Duodenal ulcer. 3 cases were diagnosed as Pyloric orifice ulcer; 5 cases were diag-nosed as Gastric ulcer. ConclusionsThe detection rate of superficial gastritis is the highest in gastropathic chil-dren, Helicobacter pylori （HP） infection is one of the major pathogenic reason for chronic gastritis and peptic ulcer in children. Pediatric gastroscopy is a safe, reliable examination method.
出处
《中国内镜杂志》
CSCD
北大核心
2009年第2期154-156,共3页
China Journal of Endoscopy
关键词
儿童胃镜
上消化道疾病
幽门螺杆菌
pediatric gastroscopy
upper digestive diseases
helicobacter pylori
