摘要
目的探讨胃镜代替结肠镜对小儿结直肠病变患者进行结直肠检查及内镜下电凝电切息肉的效果。方法选取2012年1月至2014年9月泰安市中心医院需要进行结直肠内镜检查及治疗的患儿89例,经伦理委员会审核并患儿家属知情同意后,对其采用随机序列的方法进行分组,分别采用成人型胃镜和成人型结肠镜进行全结肠检查,发现结直肠息肉者,给予内镜下息肉切除术。分析两种检查方法到达回肠末端的成功率、操作时、需要按压腹部辅助进镜的频次,及两种检查方法镜下所见、结直肠息肉电切治疗后并发症发生情况。结果两种检查方法插镜进入回肠末端的成功率比较,差异无统计学意义(P>0.05),切除息肉的成功率比较,差异无统计学意义(P>0.05),但使用胃镜代替结肠镜检查及胃镜下切除息肉的并发症(腹痛腹胀、肛门不适、黏膜损伤)发生率更低(χ2=7.590、4.440、4.535,P值均<0.05)。结论成人型胃镜代替成人型结肠镜进行小儿结直肠检查及息肉切除术更安全可靠,具有一定优势。
Objectives To evaluate the use of adult gastroscope instead of colonoscope for pediatric eolonoscopy and endoseopic polypeetomy. Methods We selected 89 inpatient children who had colorectal diseases and needed colonoscopy and endoscopic therapy, and divided them into two groups randomly to undergo colonoscopy with adult gastroscope and adult colonoscope, respectively. Once the colorectal polyps were found, they would be removed under the endoscope. Results There was no difference between the success rates of inserting into terminal ileum （P 〉 0.05） , and there was no difference between the success rates of removing polyps in the two ways （ P 〉 0.05 ） , but the incidence of complications of using gastroseopy was significantly lower than that of using adult colonoscope （P 〈 0. 05 ）. Conclusions Using adult gastroseope instead of adult eolonoscope for pediatrics colonoscopy and endoscopic polypeetomy is safe and reliable.
出处
《中华胃肠内镜电子杂志》
2015年第3期26-29,共4页
Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)
