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[儿童结肠镜检查:个人经验]

[Colonoscopy in children: personal experience].

作者信息

Magnano A, Virgilio C, Sanfilippo G, Patanè R, Russo A

出版信息

Pediatr Med Chir. 1982 May-Jun;4(3):253-6.

PMID:6984899
Abstract

Since 1974, 162 colonoscopies have been performed on patients ranging in age from six months to 15 years. All examinations were done using adult endoscopes. Most of the exams were conducted either without any pharmacological preparation or after administration of benzodiazepine; in only 16 cases was general anesthesia without intubation (Ketamine) necessary. The most frequent indications for performing the exam were various types of anal bleeding, isolated, or associated with diarrhoea. The diagnosis made most frequently was of an isolated polyp (43 cases out of 162), localized almost exclusively in the rectum or sigmoid colon. The second most frequent diagnosis was of an inflammatory process (12 cases out of 162). It was noted that a large number of cases were found to be negative (73 cases out of 162), which may be explained by the fact that many cases of that age group involve acute processes healed when were examined.

摘要

自1974年以来,已对年龄从6个月至15岁的患者进行了162例结肠镜检查。所有检查均使用成人内窥镜进行。大多数检查要么在没有任何药物准备的情况下进行,要么在给予苯二氮䓬后进行;仅16例需要非插管全身麻醉(氯胺酮)。进行该检查最常见的指征是各种类型的肛门出血,单独出现或与腹泻相关。最常见的诊断是孤立性息肉(162例中有43例),几乎全部位于直肠或乙状结肠。第二常见的诊断是炎症过程(162例中有12例)。值得注意的是,大量病例检查结果为阴性(162例中有73例),这可能是因为该年龄组的许多病例在接受检查时急性病程已愈合。

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