Dieulafoy病33例临床分析  

A clinical analysis of 33 cases of Dieulafoy lesion

作　　者：刘斌[1] 王向东[1] 翟云[1] 魏振军[1] 梁浩[1] 

机构地区：[1]解放军总医院消化科,北京100853

出　　处：《军医进修学院学报》2009年第1期39-41,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的:探讨Dieulafoy病的临床特点及诊断、治疗方法。方法:对5年来我院确诊的33例Dieulafoy病的临床资料进行回顾性分析并随访。结果:21例患者首次内镜下止血成功未发生再出血,4例内镜下止血效果不佳行栓塞治疗或外科手术,1例直接外科手术治疗,7例无活动性出血患者经内科保守治疗未发生再出血。结论:Dieulafoy病可经内镜检查确诊,内镜治疗是Dieulafoy病的首选方法,对于内镜治疗失败的患者可行栓塞治疗或外科手术。Objective： To explore the clinical characteristics, diagnosis and treatment of Dieulafoy lesion. Methods： Thirty three patients with confirmed diagnosis of Dieulafoy lesion in our hospital were retrospectively analyzed and followed up. Results： 21 patients underwent successful endoscopic haemostasis and no patients had recurrent bleeding. 4 patients underwent embolotherapy or surgery due to unsuccessful endoscopic treatment. 1 patient received direct surgical treatment and 7 patients without active hemorrhage did not bleed after conservative treatment. Conclusion： Dieulafoy lesion can be diagnosed by means of endoscopy. Endoscopic therapy should be the first choice for Dieulafoy lesion, and the patients who failed in endoscopic therapy can be treated with embolotherapy and surgery.

关 键 词：DIEULAFOY病 内窥镜 诊断 治疗 

分 类 号：R574.2[医药卫生—消化系统] R443.7[医药卫生—内科学]