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目的 :探讨小儿消化性溃疡的内镜诊断和临床特点。方法 :对 89例 5～ 14岁小儿消化性溃疡的内镜检查和临床资料进行回顾性分析及检测幽门螺杆菌 62例。结果 :小儿消化性溃疡男性明显多于女性 ,男女之比为 5∶1;十二指肠溃疡占 82 % ,胃溃疡占 14 % .6,复合性溃疡占 3 .4% ;幽门螺杆菌感染总阳性率 64 .8% ;溃疡病有遗传倾向的占 3 2 .6% ( 2 9/ 89例 ) ,误、漏诊 2 1例。结论 :消化性溃疡是小儿上消化道出血的主要原因 ,幽门螺杆菌感染与小儿消化性溃疡密切相关 ,遗传因素在小儿消化性溃疡的发生有一定作用 ,小儿内镜检查安全可靠 ,检出率高 ,误诊少 ;小儿消化性溃疡治疗以内科保守治疗为主。
Objective: To investigate the endoscopic diagnosis and clinical features of pediatric peptic ulcer. Methods: Endoscopy and clinical data of 89 children aged 5 to 14 years with peptic ulcer were retrospectively analyzed and 62 cases of Helicobacter pylori were detected. Results: The incidence of peptic ulcer in children was significantly higher than that in women, the ratio of male to female was 5: 1, duodenal ulcer accounted for 82%, gastric ulcer accounted for 14%, tuberculous ulcer accounted for 3.4%, helicobacter pylori The total positive rate was 64.8%. There were 32.6% (29/89 cases) of genetic predisposition for ulcer disease, 21 cases were misdiagnosed and missed. Conclusion: Peptic ulcer is the main cause of upper gastrointestinal bleeding in children. Helicobacter pylori infection is closely related to peptic ulcer in children. Genetic factors play a role in the occurrence of peptic ulcer in children. The detection rate of pediatric endoscopy is safe and the detection rate High, misdiagnosis less; pediatric peptic ulcer treatment based on conservative treatment.