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目的探讨内镜下钛夹在小儿消化道疾病中的治疗效果。方法 2011年1月-2013年12月采用Olympus GIFXQ260型胃镜、Olympus PCF-Q260AI型结肠镜、Olympus HX-600-135和HX-600-090型金属钛夹等器械,诊治小儿消化道疾病51例。结果共诊治51例患儿,其中食管异物穿孔1例,在内镜下放置2枚钛夹成功闭合穿孔。消化道出血18例,其中食管贲门黏膜撕裂症7例,消化性溃疡并出血8例,Dieulafoy病2例,胃切除术后吻合口出血1例。除1例消化性溃疡并出血经2次止血成功外,其余均在内镜下金属钛夹钳夹止血成功。结肠息肉32例,均在内镜下摘除息肉。结论内镜下钛夹在小儿消化道疾病的诊治中有重要作用,治疗消化道穿孔、消化道出血、结肠息肉等,治疗安全有效,方法简便。
Objective To investigate the therapeutic effect of endoscopic titanium clip in pediatric gastrointestinal diseases. Methods From January 2011 to December 2013, 51 children with gastrointestinal diseases were diagnosed and treated with Olympus GIFXQ260 gastroscope, Olympus PCF-Q260AI colonoscope, Olympus HX-600-135 and HX-600-090 metal titanium clamps, etc. . Results A total of 51 cases were diagnosed and treated. Among them, 1 case of esophageal foreign body was perforation, and 2 cases of titanium clip were placed under endoscopy to successfully close the perforation. Gastrointestinal bleeding in 18 cases, including esophageal mucosal tear in 7 cases, peptic ulcer and bleeding in 8 cases, Dieulafoy disease in 2 cases, anastomotic bleeding after gastrectomy in 1 case. In addition to a case of peptic ulcer hemorrhage after 2 hemostasis success, the rest are in the endoscopic metal titanium clamp clamp to stop bleeding success. Colonic polyps in 32 cases, both in endoscopic polypectomy. Conclusion Endoscopic titanium clip in the diagnosis and treatment of pediatric gastrointestinal diseases play an important role in the treatment of gastrointestinal perforation, gastrointestinal bleeding, colon polyps, safe and effective treatment, the method is simple.