选择性肠系膜血管造影留置导引钢丝定位空回肠血管畸形出血部位  

Mesenteric angiographic selective location of jejunoileal vascular malformations with combined use of the guide wire

作　　者：凌跃新[1] 童赛雄[1] 艾志龙[1] 锁涛[1] 姚礼庆[1] 程洁敏[2] 

机构地区：[1]复旦大学中山医院普通外科,上海200032 [2]复旦大学中山医院介入科,上海200032

出　　处：《中国实用外科杂志》2009年第1期88-90,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨空回肠血管畸形出血部位的术中定位方法。方法1995年12月至2005年11月,复旦大学中山医院对16例空回肠血管畸形病人,经选择性肠系膜血管造影证实具体出血动脉后,再进一步对出血分支动脉行超选择性插管,置入导引钢丝作为术中定位标记。结果肠血管畸形位于空肠9例、回肠6例、空肠加结肠1例。手术时均顺利找到标记物并切除病变肠管,从而获得满意疗效。结论经选择性肠系膜血管造影明确畸形的肠血管后,置入标记物作为术中寻找病变部位的定位标记,是一种非常有效的方法。Objective To study the intraoperative location of jejunoileal vascular malformations. Methods 16 cases of jejunoileal vascular malformation were diagnosed by mesenteric selective angiography. Subsequent superselective catheterization of a bleeding branch was performed. The guide wire was placed as a marker for intraoperative location. Results 9 cases of intestinal vascular malformation were located in the jejunum, 6 in the ileum, 1 in the jejunum and colon. At operation, the guide wire could easily be found and subsequent surgical resection performed successfully. Conclusion Placing the guide wire as a marker by angiographic techniques is quite useful in locating intraoperatively the exactbleeding site of jejunoileal vascular malformation.

关 键 词：血管造影 血管畸形 空回肠 定位方法 

分 类 号：R6[医药卫生—外科学]