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目的：分析小儿胃镜检查的结果和探讨小儿胃镜检查的方法和技术。方法：以１９８７年１月至１９９７年１月间在我科行胃镜检查的９２ 例患儿为研究对象。结果：９２例患儿用不同型号内镜顺利完成检查，发现上胃肠道病变８０例，检出率８８．０％；常见的有慢性浅表性胃炎５８例，十二指肠炎 １７例，十二指肠溃疡１１ 例，异物９例；病人中多数年龄在 ７～１４岁；幽门螺杆菌感染的阳性率为２２．２％。结论：小儿上胃肠道疾病和幽门螺杆菌感染是常见的，且随着年龄的增加而增多；由熟练的内镜医生使用不同型号的成人胃镜检查小儿是可行而安全的。
Objective: To analyze the results of pediatric gastroscopy and to explore the methods and techniques of gastroscopy in children. Methods: From January 1987 to January 1997 in our department gastroscopy 92 cases of children as the research object. Results: 92 cases of children with different types of endoscopic successfully completed the examination and found that 80 cases of upper gastrointestinal lesions, the detection rate of 88.0%; common chronic superficial gastritis in 58 cases, 17 cases of duodenitis, 11 cases of duodenal ulcer, 9 cases of foreign body; most of the patients were 7-14 years old; the positive rate of Helicobacter pylori infection was 22.2%. CONCLUSION: Upper gastrointestinal diseases and Helicobacter pylori infection in children are common and increase with age. It is feasible and safe to use different types of adult gastroscopy to treat children by skilled endoscopists.