数字减影血管造影术在小肠肿瘤伴下消化道大出血诊治中的应用  

The role of digital subtraction angiography in the diagnosis and treatment of small intestinal tumor with massive lower gastrointestinal hemorrhage

作　　者：刘海义[1,3] 王立春[3] 曾玉剑[1] 徐兵[1] 宋军民[1] 于永扬[1] 李肖[2] 王存[1] 杨烈[1] 周总光[1] 

机构地区：[1]四川大学华西医院胃肠外科,成都610041 [2]四川大学华西医院介入治疗科,成都610041 [3]山西省肿瘤医院肛肠外科

出　　处：《肿瘤研究与临床》2008年第9期610-611,共2页Cancer Research and Clinic

摘　　要：目的探讨数字减影血管造影术（DSA）对小肠肿瘤伴下消化道大出血的诊断价值和对手术治疗的指导作用。方法DSA检查诊断24例为小肠肿瘤伴下消化道大出血并行手术治疗。结果24例患者的DSA结果中显示出血直接征象17例，其中9例发现明显肿瘤血管；所有病例均显示团块状肿瘤染色，且DSA结果均经手术及病理证实。结论DSA对小肠肿瘤伴下消化道大出血的定位、定性诊断有肯定的价值。Objective To discuss the diagnostic value of DSA for massive hemorrhage in lower gastrointestinal tract resulting from tumour. Methods 24 patients with massive lower gastrointestinal hemorrhage were performed DSA and then operated as tumour. Results Among 24 patients, 17 cases demonstrated direct signs of hemorrhage, 9 cases visible tumour vessels; 24 patients all showed clumping tumour-specific dyeing. Conclusion DSA is of great value to determining the location and qualitation of the massive lower gastrointestinal hemorrhage resulting from tumours.

关 键 词：肠肿瘤 血管造影术 数字减影 胃肠道 

分 类 号：R735[医药卫生—肿瘤]