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目的:研究儿童上消化道疾病的主要疾病谱及儿童胃镜诊断和治疗的效果。方法:回顾分析524例行胃镜检查及胃镜治疗的消化专病患儿,统计其临床资料、内镜表现、内镜诊断、治疗情况等。结果:524例患儿共行胃镜检查602次,发现慢性胃炎、十二指肠炎、消化道溃疡是常见的上消化道疾病。<4岁患儿上消化道先天畸形及消化道异物发现率较高,8~15岁儿童慢性胃炎、十二指肠炎等构成比较高。结论:慢性浅表性胃炎是儿童常见的上消化道疾病,胃镜是上消化道疾病的主要诊断及治疗方法,其在儿童中应用安全、可行。
Objective: To study the main disease spectrum of children with upper gastrointestinal diseases and the effect of diagnosis and treatment of gastroscopy in children. Methods: A retrospective analysis of 524 cases of gastroscopy and endoscopy treatment of digestive diseases, statistics of clinical data, endoscopic findings, endoscopic diagnosis, treatment and so on. Results: 524 children underwent gastroscopy 602 times and found that chronic gastritis, duodenitis and peptic ulcer were common upper gastrointestinal diseases. <4-year-old children with upper gastrointestinal congenital malformations and gastrointestinal foreign body found higher rates of 8 to 15-year-old children with chronic gastritis, duodenal inflammation and other constitute relatively high. Conclusion: Chronic superficial gastritis is a common upper gastrointestinal disease in children. Gastroscopy is the main diagnosis and treatment of upper gastrointestinal diseases. It is safe and feasible in children.