1726例不同年龄组儿童胃镜结果分析

Analysis of gastroscopic characteristics of 1 726 cases with upper digestive tract symptoms in children among different age groups

摘要:

目的 分析具有上消化道症状不同年龄组儿童胃镜下特征及胃镜检查的诊断价值。方法 回顾性分析1 726例具有上消化道症状不同年龄组患儿胃镜资料，以年龄为界划分为4组：婴幼儿期（<3岁），学龄前期（3～6岁），学龄期（7～11岁）及青春期（12～14岁），比较分析不同年龄组的胃镜下特征。结果 ①1 726例患儿共行1 805次胃镜检查，婴幼儿期205例，学龄前期556例，学龄期783例及青春期182例。②慢性胃炎是具有上消化道症状儿童的常见病因，消化道畸形和消化道异物多见于婴幼儿期，过敏性紫癜和食管静脉曲张主要见于学龄前期和学龄期，消化性溃疡在学龄期和青春期所占比率较其他年龄组明显增高（P <0.005）。③消化性溃疡占11.4%（197/1 726），其中十二指肠球部溃疡占86.3%（170/197）、胃溃疡占10.2%（20/197）、及复合性溃疡占3.6%（7/197）。④具有上消化道症状患儿不同年龄组慢性胃炎伴糜烂病变部位的分布不同，>3岁患儿以胃底病变最多；十二指肠球部溃疡多发于球部前壁。结论 具有上消化道症状不同年龄组患儿的常见病因各有不同；胃镜检查是明确具有上消化道症状各年龄组儿童病因的最主要方法，具有重要的临床诊断价值。

Abstract:

【Objective】 To study gastroscopic characteristics of children with upper digestive tract symptoms and assess the clinical application value of gastroscopy in the diagnosis of children among different age groups. 【Methods】 The data of gastroscopic examination in children with upper digestive tract symptoms among different age groups were analyzed retrospectively. The patients were divided into four groups by age ranges including infancy (<3 ages), preschool age (3 ages to 6 ages), school age (6 ages to 11 ages), adolescence (12 ages to 14 ages). The differences in children with upper digestive tract symptoms among different age groups in terms of gastroscopic characteristics were compared. 【Results】 ①1 726 patients had accepted gastroscopy 1 805 times, including infancy 205 cases, preschool age 556 cases, school age 783 cases, adolescence 182 cases. ②Chronic gastritis was the common causes in children with upper gastrointestinal tract symptoms. The most frequent findings were the digestive tract malformation and upper digestive tract foreign bodies in infancy. Henoch-Schonlein purpura and esophageal varices occurred mostly in preschool age and school age. The proportion of peptic ulcer in school age and adolescence was significantly higher than other group (P <0.005). ③The proportion of peptic ulcer in children was 11.4% (197/1 726). Among them, the proportion of duodenal ulcer in children was 86.3% (170/197), gastric ulcer 10.2% (20/197), complex ulcer 3.6% (7/197). ④The location of the gastritis erosive was different in children with upper digestive tract symptoms among different age groups. The proportion of stomach fundus was the highest in gastritis erosive over the age of 3 years. The predisposed location of duodenal ulcer was most in the anterior wall. 【Conclusion】The most common cause is different in children with upper digestive tract symptoms. Gastroscopy examination is the main method of diagnosis of upper digestive tract symptoms among different age groups. This shows diagnosis value in children with upper disease tract symptoms.