结肠血管扩张症致下消化道出血的诊断与治疗  

Diagnosis and treatment of lower gastrointestinal tract bleeding caused by colon vascular ectasias

作　　者：唐维平[1] 邓跃华[1] 刘弋[1] 

机构地区：[1]安徽医科大学第一附属医院普外科,安徽合肥230022

出　　处：《安徽医药》2010年第7期797-799,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨结肠血管扩张症致下消化道出血的诊断和治疗方法。方法对该院32例结肠血管扩张症致下消化道出血患者的诊断和治疗情况进行分析。结果24例纤维结肠镜检查发现结肠血管扩张性病变;5例肠系膜血管造影发现结肠血管扩张症;3例双气囊电子小肠镜发现盲肠或回盲部血管扩张。非手术治疗22例;手术治疗10例,其中右半结肠切除术6例,乙状结肠切除术1例,横结肠切除术2例,部分升结肠、盲部、末段回肠切除术1例。结论要充分提高对本病的认识,结肠血管扩张症是导致下消化道出血的重要原因之一,出现不明原因的下消化道出血需考虑结肠血管扩张症的可能性,纤维结肠镜、双气囊电子小肠镜及肠系膜血管造影检查是诊断该病的主要方法,手术治疗是该病的有效治疗方式。Aim To evaluate the diagnosis and treatment of lower gastrointestinal tract bleeding caused by colon vascular ectasias.Method The diagnosis and treatment of 32 patients with lower gastrointestinal tract bleeding caused by colon vascular ectasias were analysed.Results 24 cases with colon vascular ectasia lesions were discovered by fiber colonoscopy.5 cases with colon vascular ectasia were found by mesenteric angiography.3 cases with cecum or ileocecal vascular ectasia were found by double-balloon enteroscopy.22 patients were conservatively treated.Surgery was performed in 10 patients,right colon resection 6 cases,sigmoid colon resection 1 case,transverse colon resection 2 cases,part of ascending colon,caecum,and the last paragraph of ileum resection 1 case.Conclusion Clinician should enhance full understanding for this disease.Colon vascular ectasias is one of the important causes of lower gastrointestinal tract bleeding.The emergence of unexplained lower gastrointestinal tract bleeding indicates the possibility of colon vascular ectasias.Fiber colonoscopy,double-balloon enteroscopy and mesenteric angiography are the preferred methods of diagnosis of the disease.Surgical treatment is the effective treatment for this disease.

关 键 词：结肠血管扩张症 下消化道出血 诊断 治疗 

分 类 号：R574.6[医药卫生—消化系统]