应用结肠镜诊治小儿便血体会

目的：探讨结肠镜对小儿便血的诊断与治疗价值。方法：清洁肠道后采用结肠镜对52例便血小儿进行检查和治疗。结果：49例(94．2％)患儿在镜下得以明确诊断，其中大肠息肉31例(63．3％)，大肠炎9例(18．4％)，溃疡性结肠炎1例(2．0％)肛周疾病8例(16．3％)，31例经结肠镜电切31颗息肉，无严重并发症。结论：大肠息肉是小儿便血的主要原因；结肠镜在小儿便血的诊断和治疗中是较为有效和安全的，可达诊断和治疗的双重目的。

The Diagnosis and Treatment of Hematochezia in Children with Colonoscope

Objective: To evalue the application of co lonoscopy hematochezia in children.Methods: 52 cases with hematochezia underwent diagnostic and/or therapeutic colonoscopy. Results:The definite diagnosis was finally made in 49 cases(94.2 %), among them 31 cases(63.3%) were colorectal polyps,9 cases(18.4%) were co lorectitis,1 cases(2.0%) were ulcerative colitis,8cases(16.3%)were perianal dise ases.Totally 31 cases underwent electrocision,and 31 polyps were removed.Conclusion:Colonoscopy not only has high diagnostic rate,but als o possess therapeutic function.It is a safe and effective method for the diagnos is and treatment of hematochezia in children.