美克尔憩室出血的血管造影分析  

Angiognaphic Finding of Meckel's Diverticulum Presenting with Gastrointestinal Bleeding in 6 Patients

作　　者：毛军杰[1] 陈勇[1] 刘战胜[1] 曾庆乐[1] 赵剑波[1] 李彦豪[1] 

机构地区：[1]广州南方医科大学南方医院介入科,510515

出　　处：《临床放射学杂志》2009年第7期985-987,共3页Journal of Clinical Radiology

摘　　要：目的探讨血管造影对美克尔憩室的诊断价值。资料与方法选择经手术及病理证实的6例美克尔憩室患者,均为男性,年龄5～36岁,平均23岁。对其临床资料及血管造影进行回顾性分析,研究美克尔憩室并发出血的典型血管造影表现。结果6例中有5例显示典型的卵黄管动脉,其中4例来源于回肠动脉分支,1例来源于胃网膜右动脉分支;1例未显示明显卵黄管动脉,但可见对比剂溢入肠管。病变肠段位于右上腹部1例,左下腹2例,下腹部3例。结论血管造影对美克尔憩室并出血有较好的诊断价值,其中显示的卵黄管动脉最具特征性。Objective To assess the value of angiognaphy in diagnosing Meckel＇s diverticulum. Materials and Methods 6 patients who had undergone preoperative angiography between 2002 and 2008 at the Nanfang Hospital were selected, All the patients were males. Mean age was 23 years （range ,5 -36 years）. Clinical data and angiograms of these 6 patients were reviewed to analyze the typical angiognaphic evidence of a Meckel＇s diverticulum presenting with gastrointestinal bleeding. Results Vitellointestinal artery was showed in 5 patients. The vitellointestinal artery arised from ileal arteries in 4 patients and from the right gastroomental artery in 1 patient. One patient had no manifestion of vitellointestinal artery but extravasation of contrast material into the intestinal lumen. The lesions located at the right upper quadrant （ n = 1 ）, at the left lower quadrant （ n = 2） and at the cavitas pelvis （ n = 3 ）. Conclusion Angiography may be useful for the diagnosis of Meekel＇s diverticulum presenting with gastrointestinal bleeding. The presentation of a persistent vitellointestinal artery is the most important characteristic.

关 键 词：美克尔憩室 血管造影 卵黄管动脉 

分 类 号：R816.5[医药卫生—放射医学] R656[医药卫生—临床医学]