胃肠道血管畸形的临床与DSA特征(附11例分析)  

Clinical and DSA Features of Gastrointestinal Vascular Malformation: Analysis of 11 Cases

作　　者：邵国良[1] 陈卫昌[1] 倪才方[1] 刘一之[1] 朱晓黎[1] 陈学仁[1] 丁乙[1] 

机构地区：[1]苏州医学院附属第一医院

出　　处：《临床放射学杂志》1997年第5期302-304,共3页Journal of Clinical Radiology

摘　　要：目的：研究胃肠道血管畸形的临床和ＤＳＡ特点。材料与方法：回顾性分析１１例胃肠道血管畸形患者的临床及ＤＳＡ表现。其中男性７例，女性４例。所有患者均作选择性肠系膜上、下动脉及腹腔动脉造影。结果：该病具有以下临床和ＤＳＡ特点：（１）临床特点：①多为中老年患者；②以反复发作的慢性间歇性消化道出血（黑便或便血）为主要症状；③常规检查一般阴性。（２）ＤＳＡ特点：①出现异常增多的细小血管，或伴扩张的供血动脉，此为主要诊断依据；②肠壁染色增浓，或造影剂外渗入肠管；③静脉早显呈“双轨”征象，或伴扭曲、扩张的小静脉。结论：结合临床特点和ＤＳＡ表现，胃肠道血管畸形可作出正确诊断。Objective: To study the clinical and DSA features of gastrointestinal vascular malformation (GIVM). Materials and Methods:Clinical and DSA manifestations in 11 patients with GIVM were analyzed retrospectively. There were 7 men and 4 women, aged from 15 to 78 years (mean age 61.5±4.3). All of patients underwent selective superior mesenteric, inferior mesenteric and celiac artery angiographies.Results:The GIVM has features as follows: (1) Clinical features:① Middle or old age patient; ②Recurrent chronic and intermittent gastrointestinal bleeding (melena, bloody stool), is the main symptom; ③ Generally, negative results with conventional examinations. (2) DSA features: ① Abnormal hyperplasia of small vessels, or followed with modest dilated feeding arteries, it is the main evidences for diagnosis of GIVM in angiogram; ②Markedly staining of intestine or extravasation of contrast agents into lumen of gut; ③Earlier visualization of vein (present “double railway” sign), or followed with distorted dilated small vein. Conclusion: The GIVM can be determined by combination of clinical features and DSA manifestations.

关 键 词：胃肠道 血管畸形 血管造影术 DSA 病例分析 

分 类 号：R543[医药卫生—心血管疾病]