小肠动静脉畸形致下消化道出血的诊断和治疗分析  

Analysis of diagnosis and treatment of lower gastrointestinal bleeding caused by Intestinal arteriovenous malformation

作　　者：肖勇[1] 魏明[1] 许逸卿[1] 

机构地区：[1]深圳市宝安区松岗人民医院外科,广东深圳518105

出　　处：《中国现代医学杂志》2006年第7期1101-1103,共3页China Journal of Modern Medicine

摘　　要：目的探讨小肠动静脉畸形致下消化道出血的诊断和治疗方法。方法对26例小肠动静脉畸形致下消化道出血的临床资料进行回顾性分析。结果术前经血管造影明确出血部位,23例行手术治疗,3例经内科治疗痊愈。肠系膜血管造影阳性诊断率为88(%23/26)。23例经病理证实均为小肠动静脉畸形。结论肠系膜血管造影是有效的术前诊断方法,病变小肠手术切除是有效治疗手段。[Objective] To discuss the diagnosis and treatment of lower gastrointestinal bleeding caused by intestinal arteriovenous malformation. [Methods] Clinical data of 26 eases with lower gastrointestinal bleeding caused by intestinal arteriovenous malformation were retrospectively reviewed. [Results] The bleeding site was determined through mesentery artery angiography diagnosis before treatment, 23 cases were treated with operation, 3 cases were treated with medicine. The positive percentage of mescntery artery angiography diagnosis was 88%（23/26）. 23 cases were diagnosed with intestinal arteriovenous malformation by pathologist. [Conclusion] Mesentery artery angiograplay diagnosis is an effective method in diagnosis of intestinal arteriovenous malformation, and intestinal dissection is the most effective treatment.

关 键 词：动静脉畸形 胃肠出血 小肠 

分 类 号：R574[医药卫生—消化系统]