结直肠弥漫性海绵状血管瘤的诊断与治疗  

Diagnosis and Treatment of Colorectal Diffuse Cavernous Hemangioma

作　　者：王汉涛[1] 屠岳[1] 孟荣贵[1] 傅传刚[1] 徐洪莲[1] 于恩达[1] 崔龙[1] 喻德洪[1] 

机构地区：[1]上海长海医院肛肠外科,200433

出　　处：《结直肠肛门外科》2006年第2期67-69,共3页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨结直肠弥漫性海绵状血管瘤的诊断与治疗方法。方法1994年至2005年手术治疗6例,其中全结直肠弥漫性海绵状血管瘤1例,直肠乙状结肠弥漫性海绵状血管瘤4例,直肠弥漫性海绵状血管瘤1例。结果术后随访6月至10年,4例患者无便血,2例患者有少量的间歇性大便带血。结论肠镜和影像学检查是诊断结直肠海绵状血管瘤的重要方法,保留肛门括约肌功能手术是结直肠弥漫性海绵状血管瘤有效的治疗方法。Objective： To explore the diagnosis and treatment method of Colorectal diffuse cavernous hemangioma. Methods. Six cases of large intestinal diffuse cavernous hemangiomas were surgically treated from 1994 to 2005, with whole Colorectal involved in 1 case, rectosigmoid colon in 4 cases, rectum in 1 case. Resuits：Followed-up for 6 months to 10 years, 4 patients had no further anal bleeding and 2 patients had minor intermittent anal bleeding. Conclusion. Colonoscopy and imaging study play an important role in the di agnosis. Sphincter saving procedure is an appropriate and curative approach for the treatment of diffuse cavernous hemangioma.

关 键 词：弥漫性海绵状血管瘤 直结肠 诊断 治疗 

分 类 号：R735.3[医药卫生—肿瘤]