肠动静脉畸形的诊断和标记定位(附38例报告)  

Diagnosis of intestinal arteriovenous malformation and placement of location mark:report of 38 cases

作　　者：范隆华[1] 陈福真[1] 杨珏[1] 曾维新[2] 颜志平[2] 

机构地区：[1]上海医科大学附属中山医院血管外科,200032 [2]上海医科大学附属中山医院放射科,200032

出　　处：《中华普通外科杂志》1998年第1期41-43,共3页Chinese Journal of General Surgery

摘　　要：目的探讨肠道动静脉畸形的诊断及定位。方法将选择性肠系膜动脉造影用于术前诊断肠动静脉畸形38例。其中10例放置导引钢丝或造影导管,作为术中定位标记,并即刻或择期手术。结果本组动脉造影 X 线表现为:(1)动静脉瘘和静脉早显21例;(2)局部染色浓密30例;(3)局部血管丛异常增多30例;(4)肠壁内静脉扩张、迂曲27例。10例置标记物者,术中顺利寻找并切除病灶。结论选择性肠系膜动脉造影是诊断肠动静脉畸形的可靠方法,同时放置标记物能帮助外科医师顺利寻找并切除病变,且无并发症。Objective To diagnose and locate intestinai arteriovenous malformation(IAVM).Methods Se- lective mesenteric artery angiography was performed in 38 patients with IAVM,and in 10 of them the guide wire or catheter itself was left in site as a marker.Results The principal angiographic features of this disease are:(1)Arterio-venous fistula and early appearance of drainage veins in 21 cases;(2)Focal abnormal increase of vessel clumps in 30;(3)Focal dense stain in 30;(4)Dilated and tortuous veins in in- testinal wall in 27 cases.No intestinal ischemia resulting from the placement of location marker were found during operation in 10 patients.Conclusion Selective angiography is the method of choice in diag- nosis of IAVM at present.

关 键 词：血管发育异常 诊断 立体定位技术 

分 类 号：R543.04[医药卫生—心血管疾病] R816.5[医药卫生—内科学]