摘要
为探讨结肠镜检查对小儿下消化道出血的诊断及经内镜高频电凝切除术对小儿结肠息肉的治疗价值,23例下消化道出血的小儿接受了肠镜检查并应用内镜高频电凝切除术切除所有结肠息肉,结果显示:23例小儿下消化道出血的病因均为结肠息肉.本组病例中共发现并切除结肠息肉29个,其中直肠、乙状结肠息肉占72.4%(21/29);单发息肉占87.0%(20/23).病理学检查显示:幼年性息肉占69.2%(20/29);炎性息肉占20.7%(5/29);脉瘤性息肉占10.3%(3/29).所有病例均未发生出血、穿孔等严重并发症.作者认为:明确小儿下消化道出血的原因最好的方法是结肠镜检查,经内镜高频电凝切除术是治疗小儿结肠息肉安全有效的方法.
To evalue the application of colonoscopy in the children with lower gas-trointestal haemorrhage and polypectomy with colonic polyps, colonoscopy and high frequency coagulation and cutting were carried out in 23 cases of lower gastrointestinal haemorrhage with colonic polyps. The cause of hematochezia in 23 patients was colonic polyps. Polyps located at the rectal and sigmoid accounted for 72.4% (21/29). 20 patients (87. 0% ) had single poly. Inflammatory and adenomatous polyps account for 69.2% (20/29), 20.7% (5/29) and 10.3% (3/29), respectively. No serious complications such as bleed and perforation occured in the patients. We concluded that colonoscopy is the best diagnostic method for the children with lower gastrointestinal haemorrhage and colonoscopic polypectomy using high frequency coagulation and cutting which is a safe and effective way for the children with colonic polyps.
出处
《临床消化病杂志》
1998年第3期105-107,共3页
Chinese Journal of Clinical Gastroenterology
