摘要
目的:探索提高儿科消化道疾病确诊率的有效方法,并分析儿科消化道疾病诊断中消化道造影检查的作用.方法:1990-2000年因消化道症状就诊且行消化道钡剂造影的儿童患者773例,其中568例接受上消化道造影,86例全消化道造影,119例钡剂灌肠,分析患者临床资料.结果:患儿主要临床表现有腹痛、呕吐、排便障碍、腹胀及消化道出血等.其中52.8%的患者消化道钡剂造影检查有异常发现,且各年龄段消化道造影检查阳性率有显著差异(χ2=167.99,P<0.01).主要疾病有胃炎、胃扭转、食管裂孔疝、无神经节细胞症及水平横胃等.新生儿及婴幼儿以胃扭转、食管裂孔疝和水平横胃等多见;学龄前儿童及学龄儿童以胃炎和消化道溃疡等多见.结论:儿科消化道疾病的病因在不同的年龄段显著不同,而消化道钡剂造影对儿科消化道患者可取得较高的确诊率.
AIM： To explore the role of Barium X-ray in the diagnosis of pediatric digestive diseases, and to investigate the effective methods to improve the diagnosis. METHODS： We analyzed 773 children who were administered barium X-ray for digestive disor-ders in our hospital from 1990 to 2000. Of them, 568 cases received upper gastroenterography, 86 cases received gastroenterography and 119 cases received barium enema. Clinical data were ana-lyzed using descriptive analysis and Chi-square test for statistic analysis. RESULTS： The main clinical symptoms of chil-dren with digestive disorders included abdomi-nal pain, vomiting, dysporia, distention and digestive tract bleeding, etc. Of all these patients, 52.8% were found abnormal in barium X-ray, and positive rates were significantly different among different age groups （χ2 = 167.99, P 〈 0.01）. The main causes included gastritis, gastric vol-vulus, esophageal hiatal hernia, Hirschsprung’ s disease and transverse horizontal stomach, etc. For neonates and infants, the most common causes were gastric volvulus, esophageal hiatal hernia, while in preschool or school children, the main causes were gastritis and peptic ulcer. CONCLUSION： The causes of digestive dis-orders are significantly different among age groups. The main causes in children under 3 years old are congenital diseases, while in those elder than 3 years old are inflammatory diseases or functional disorders. The Barium X-ray plays an important role in deducing a definite diagnosis for digestive disorders
出处
《世界华人消化杂志》
CAS
北大核心
2008年第27期3126-3130,共5页
World Chinese Journal of Digestology
