ĐẶC ĐIỂM HÌNH ẢNH NỘI SOI ĐƯỜNG TIÊU HÓA TRÊN Ở TRẺ EM CÓ HỘI CHỨNG DẠ DÀY - TÁ TRÀNG TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

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Tác giả: Thị Huệ Đoàn, Lê Long Lục, Xuân Thủy Nguyễn, Tiến Thịnh Trần

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.18-22

Bộ sưu tập: Metadata

ID: 339895

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Nghiên cứu được thực hiện nhằm mục tiêu mô tả đặc điểm hình ảnh tổn thương dạ dày - tá tràng trên kết quả nội soi đường tiêu hóa trên ở trẻ em. Nghiên cứu mô tả cắt ngang trên 111 trẻ có hội chứng dạ dày - tá tràng được chỉ định thực hiện nội soi đường tiêu hóa trên tại Bệnh viện Trung ương Thái Nguyên trong thời gian từ tháng 02 đến tháng 12/2021. Kết quả nghiên cứu cho thấy, có 67,6% trẻ nam, 32,4% trẻ nữ, tỷ lệ trẻ nam/nữ: 2,1/1
tuổi trung bình là 7,70±2,38 tuổi, nhóm 5-10 tuổi được chỉ định nội sọi đường tiêu hóa trên cao nhất (67,4%). Chẩn đoán viêm loét dạ dày là 32,5%, viêm loét tá tràng là 26,7%. Tỷ lệ test HP (+) chiếm 56,8%. Phân loại tổn thương theo Sydney System có tổn thương dạng trợt lồi (64,9%), tổn thương dạng viêm xung huyết (29,7%). Mức độ tổn thương trên mô bệnh học cho thấy 90,1% viêm nhẹ, chỉ có 2,7% viêm nặng. Như vậy, nội soi đường tiêu hóa trên rất có giá trị trong việc chẩn đoán trẻ có hội chứng dạ dày - tá tràng, cần có các nghiên cứu đánh giá kết quả điều trị khi có kết quả nội soi chẩn đoán xác định bệnh lý ở dạ dày.The aim of this study was to describe the main endoscopic and histopathological findings of the esophagus, stomach, and duodenum in children with the stomach - duodenal syndrome. We conducted a prospective study of 111 children who underwent esophagogastro-duodenoscopy for the indication of abdominal pain at Thai Nguyen National Hospital from Feb.2021 to December 2021. The results showed that there were 67.6% male and 32.4 female patients in the study group with a male-to-female ratio of 2.2/1. The mean age of the children was 7.70±2.38 years. Children aged between 5 and 10 years indicated to esophagogastroduodenoscopy were 67.4%. Gastric inflammation and ulcers were diagnosed in 32.5% of cases. Duodenal ulcers were diagnosed in 26.7% of cases. H.pylori was positive in 56.8% of cases. The Sydney System classifications was 64.9% of striated and convex lesions and 29.7% of congestive inflammatory lesions. The histological assessment showed mild inflammation (90.1%), and severe inflammation only 2.7%. Thus, upper gastrointestinal endoscopy is very valuable in diagnosing children with gastro duodenal syndrome, it is necessary to have studies to evaluate treatment results when endoscopic results confirm the pathology in the stomach.

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