小肠毛细血管扩张症6例诊治分析  

Diagnosis and Treatment of Small Intestinal Telangiectasis:6 Cases Report

作　　者：孙晓红[1] 高斌[1] 程志俭[1] 黄陶承[1] 何秉[1] 

机构地区：[1]复旦大学附属上海市第五人民医院普外科,上海200240

出　　处：《中国临床医学》2009年第1期92-93,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨小肠毛细血管扩张症的诊断和治疗方法。方法:回顾分析2000年10月-2006年12月收治的6例小肠毛细血管扩张症患者的临床资料。结果:6例术前均行数字减影血管造影(DSA)明确诊断为小肠毛细血管扩张症,2例行介入栓塞,4例行病变肠段切除,5例均痊愈出院,1例因肠吻合口瘘死亡。随访中3例无复发,2例有大便隐血阳性。结论:选择性肠系膜血管造影是诊断本病的最佳方法。手术成功的关键是病变的准确定位,并应避免在肠系膜边缘血管异常部位作吻合。介入栓塞治疗可行,但仍有再出血可能。Objective：To explore the diagnosis and therapeutic methods of small intestinal telangiectasis. Methods：The clinical Dec 2006 data of 6 patients with small intestinal telangieetasis in our department from Oct. 2000 to 2006 were studied retrospectively. Results：All the cases were definitely diagnosed as small intestinal telangiectasis by digtal subtraction angiography （DSA）. Two of them underwent interventional embolization, others received excision of pathologic intestinal segment. 5 cases recovered,and 1 patient died of anastomotic fistula after operation. During the follow-up, no recurrence happened in 3 cases, 2 cases were re-hemorrhage with positive occult blood（OB） test. Conclusion：Selective mesenteric angiography is the best diagnostic method of small intestinal telangiectasis. Accurate localization is the key of successful operation, and intestinal anastomosis should be avoided in which mesenteric marginal branch is abnormal. Interventional embolization may be effective, but cannot avoid the risk of re-hemorrhage.

关 键 词：小肠 毛细血管扩张症 消化道出血 

分 类 号：R656.7[医药卫生—外科学]