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目的 探讨小儿血吸虫病的内镜诊断及其分型意义。方法 使用 Olym pus P C F20 型小儿肠镜观察并结合组织病理检查诊断小儿血吸虫病25 例。结果 ①急性肠炎型3 例,慢性结肠炎型5 例。②在镜下可同时观察到急性与慢性粘膜炎症改变,活检发现既有急性虫卵结节又有慢性虫卵结节者为混合性,发现17 例。③合并大肠息肉7 例。讨论 内镜是诊断小儿血吸虫病的重要方法。临床内镜分型宜加上混合型。
Objective To investigate the endoscopic diagnosis of pediatric schistosomiasis and its classification significance. Methods 25 cases of pediatric schistosomiasis were diagnosed by Olym pus P C F20 pediatric colonoscopy combined with histopathological examination. Results ① 3 cases of acute enteritis and 5 cases of chronic colitis. ② Under the microscope can be observed both acute and chronic mucosal inflammation changes, biopsy found that both acute and nodular nodules are mixed, and found 17 cases. ③ colon polyps in 7 cases. Discussion of endoscopic diagnosis of pediatric schistosomiasis is an important method. Clinical endoscopic type should be mixed with mixed type.