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目的探讨小儿旷置结肠炎的临床和内镜表现特点。方法回顾分析126例小儿旷置结肠炎的临床和内镜资料,主要对43例有消化道症状和83例无消化道症状病例肠造口术后3个月前后的内镜检查结果进行对比分析。结果本组43例有腹痛、血便、粘液便等消化道症状病例,内镜检出其旷置结肠黏膜出现糜烂、溃疡、炎性息肉,阳性率高于83例无消化道症状病例(P<0.05),本组126例通过术后3个月前后内镜结果比较,内镜检出其旷置结肠黏膜糜烂、溃疡、炎性息肉阳性率,造口术后3个月高于造口术前3个月(P<0.05)。结论小儿旷置结肠炎是发生在肠造口术后结肠、直肠的非特异肠炎,发病原因目前尚不明确,内镜检查有助于该病临床早期诊断以及对症治疗。
Objective To investigate the clinical and endoscopic features of exclusion colitis in children. Methods The clinical and endoscopic data of 126 children with PAC were retrospectively analyzed. The results of endoscopy were compared between 43 cases of gastrointestinal symptoms and 83 cases of non-gastrointestinal symptoms after 3 months of enterostomy . Results 43 cases of this group had abdominal pain, bloody stools, mucus and other gastrointestinal symptoms, endoscopic examination of its cupping colon mucosa erosion, ulcers, inflammatory polyps, the positive rate was 83 cases of non-gastrointestinal symptoms (P < 0.05), 126 cases of this group through the end of 3 months after the endoscopic results comparison, endoscopic examination of excisional colonic mucosal erosion, ulcers, inflammatory polyps positive rate 3 months after ostomy than the ostomy The first 3 months (P <0.05). Conclusion Children with degenerative colitis is a non-specific enteritis in the colon and rectum after enterostomy. The etiology of the degenerative colitis in children is not yet clear. Endoscopy can be helpful for the early diagnosis and symptomatic treatment of the disease.