小肠血管瘤的诊断和治疗  

Diagnosis and treatment of small intestine haemangioma

作　　者：盛新华[1] 卿三华[1] 季锡清[2] 

机构地区：[1]南方医科大学南方医院普通外科,广东广州510515 [2]解放军285医院外一科,河北邯郸056001

出　　处：《中国现代医学杂志》2006年第2期264-266,共3页China Journal of Modern Medicine

摘　　要：目的探讨小肠血管瘤的有效诊断方法,减少误诊。方法回顾性分析该院1981年6月～2004年9月收治的小肠血管瘤患者20例。结果全组患者有轻重不等的贫血,临床主要表现为呕血、便血或黑便,部分患者有腹痛、腹胀,容易误诊。发病部位十二指肠、空肠各7例,回肠5例,空回肠交界1例。剖腹探查并手术治疗18例,单纯胃镜检查、血管造影检查确诊各1例。结论小肠血管瘤发病部位隐蔽,多种检查方法存在其局限性,手术探查并结合纤维内镜检查是一最有效的确诊手段。【Objective】 To investigate the effective methods of diagnosis of small intestine haemangioma and reduce the chances of misdiagnosis. 【Methods】 Twenty patients suffered from small intestine haemangioma hospitalized from June, 1981 to September, 2004 were retrospectively analyzed. 【Results】 All patients presented with diffevent degree of anemia, and the cardinal clinic symptoms were hematemesis, hematochezia and melena, some presented with abdominal pain or distention. They were easily to be misdiagnosed. The lesion of haemangioma located in duodenum in 7 patients, jejunum in 7, ileum in 5 and borderling of jejunoileum in 1. Eighteen patients were treated with exploratory laparotomy, and the other two eases were diagnosed by gastroseopy or angiography. 【Conclusions【 The lesions of small intestine haemangioma are obscured, and some methods eft diagnosis have their limitation. Exploratory laparotomy combining with intraoperative endoscopy is considered to be the most effective method for diagnosis of the small intestine haemangioma.

关 键 词：小肠 血管瘤 剖腹探查 内镜检查 

分 类 号：R732.2[医药卫生—肿瘤]