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目的分析小儿结肠幼年性息肉的内镜检查情况及诊治方法。方法总结2008年6月至2010年12月本院就诊的小儿结肠幼年性息肉患者36例临床资料,并系统分析内镜诊断与切除息肉的相关资料。结果 36例中男22例,女14例,平均年龄4.6岁,年龄2-13岁;共有45枚息肉,其中26枚位于直肠,16枚位于乙状结肠,降结肠2枚,横结肠1枚;31例有血便,15例贫血,肛门肿物脱出5例。息肉切除后未观察到穿孔、出血及麻醉相关并发症。结论小儿幼年性息肉多发生在学龄前阶段,病变多位于直肠及乙状结肠,常见症状是血便及贫血。无痛肠镜在其诊断及治疗中具有重要作用。
Objective To analyze the situation of endoscopic examination of juvenile polyps in children and the methods of diagnosis and treatment. Methods The clinical data of 36 cases with pediatric polyposis colonic polyp in our hospital from June 2008 to December 2010 were summarized, and the related data of endoscopic diagnosis and polypectomy were systematically analyzed. Results Among the 36 cases, there were 22 males and 14 females, with an average age of 4.6 years and a mean age of 2-13 years. There were 45 polyps in total, of which 26 were in the rectum, 16 in the sigmoid colon, 2 in the descending colon and 1 in the transverse colon. A bloody stool, 15 cases of anemia, anus swollen in 5 cases. Perforation, bleeding, and anesthesia-related complications were not observed after polypectomy. Conclusion Infantile polyps in children occur in the pre-school stage, the lesions are located in the rectum and sigmoid colon, common symptoms are bloody stools and anemia. Painless colonoscopy plays an important role in its diagnosis and treatment.