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目的探讨儿童幽门螺杆菌(HP)相关性胃炎的胃镜表现及治疗方法。方法以回顾性的研究方法,对2011年2月-2012年4月期间行胃镜检查且术前血清HP抗体阳性的215例患儿的胃镜表现及其治疗方法进行总结。结果经胃镜检查确诊为HP相关性胃炎的为191例(88.83%),胃镜下表现为:结节性胃窦、胃体炎176例(92.14%)。糜烂出血52例(27.22%),溃疡35例(18.3%)。确诊患儿予三联疗法14 d根除率达91.66%。结论儿童HP相关性胃炎的胃镜表现为胃窦、胃体黏膜的小结节样改变,伴不同程度黏膜充血、糜烂、出血,严重者可在胃内及十二指肠形成溃疡。三联疗法根除治疗有效,根除率达91.66%。
Objective To investigate the gastroscopic performance and treatment of Helicobacter pylori (HP) -related gastritis in children. Methods A retrospective study was conducted on the gastroscopic findings and treatment of 215 children with gastroscopy and preoperative serum HP antibody positive from February 2011 to April 2012. Results Gastroscopy was diagnosed as HP-related gastritis in 191 cases (88.83%). Gastroscopy showed 176 cases (92.14%) of nodular gastric antrum and gastritis. Erosion bleeding in 52 cases (27.22%), ulcers in 35 cases (18.3%). The diagnosis of children with triple therapy 14 d eradication rate of 91.66%. Conclusion Gastroscopy of children with HP-associated gastritis is a small nodular change in the gastric antrum and mucosa of the gastric mucosa, with varying degrees of mucosal congestion, erosion and hemorrhage. In severe cases, ulcers may form in the stomach and the duodenum. Triple therapy eradication therapy effective, eradication rate of 91.66%.