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目的探讨成人电子胃镜在小儿上消化道疾病中的应用价值。方法对临床疑似上消化道疾病的261例小儿进行成人电子胃镜检查。结果 261例中成功检查260例,成功率达99.6%,检出疾病251例,病变检出率达96.2%。其中浅表性胃炎169例、消化性溃疡44例、十二指肠球炎18例。上消化道异物取出5例,息肉清除5例,局部止血2例,术后效果等评价3例。结论成人电子胃镜用于小儿检查是一种安全、可行的方法,主要用于上消化道疾病的病因诊断,部分用于小儿上消化道异物取出、息肉清除等。
Objective To investigate the value of adult electronic endoscopy in children with upper gastrointestinal diseases. Methods 261 cases of suspected upper gastrointestinal diseases in children with adult electronic gastroscopy. Results 260 cases were successfully checked in 260 cases, the success rate was 99.6%, 251 cases were detected, the detection rate of lesions was 96.2%. Of which 169 cases of superficial gastritis, peptic ulcer in 44 cases, 18 cases of duodenal inflammation. Upper gastrointestinal foreign body removal in 5 cases, polyp removal in 5 cases, local hemostasis in 2 cases, postoperative evaluation of 3 cases. Conclusion Adult electron gastroscopy is a safe and feasible method for pediatric examination. It is mainly used for the diagnosis of upper gastrointestinal diseases and partly for removal of upper gastrointestinal tract and removal of polyps in children.