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[目的]西宁地区儿童胃镜临床应用价值及儿童胃镜检查疾病谱。[方法]对我院4年来(2005～2008)年龄7月～14岁儿童胃镜检查资料进行回顾性分析。[结果]473例患儿中,胃镜检查发现主要疾病是慢性浅表性胃炎215例,胆汁反流性胃炎106例,十二指肠球炎65例,球部溃疡65例,胃溃疡13例,复合性溃疡8例,异物6例,215例Hp(+),Hp检出率54.8%。[结论]儿童上消化道疾病以炎症、溃疡病最常见,与成人相比,儿童Hp感染率较低。儿童胃镜检查对儿童上消化道疾病诊治有重要价值。
[Objective] The clinical value of gastroscopy in children in Xining and pediatric gastroscopy disease spectrum. [Methods] A retrospective analysis of gastroscopy data of children aged 7 months to 14 years aged 4 years (2005 ~ 2008) in our hospital. [Results] Among the 473 children, gastroscopy found 215 cases of chronic superficial gastritis, 106 cases of bile reflux gastritis, 65 cases of duodenal inflammation, 65 cases of ulcer in the bulb, 13 cases of gastric ulcer , 8 cases of complex ulcer, 6 cases of foreign body, 215 cases of Hp (+), Hp detection rate of 54.8%. [Conclusion] Inflammation and ulcer disease are most common in children with upper gastrointestinal diseases. Hp infection rate in children is lower than that in adults. Gastroscopy in children with upper gastrointestinal diseases diagnosis and treatment have important value.