大肠海绵状血管瘤的腹腔镜治疗  

Laparoscopic proctosigmoidectomy for cavernous hemangioma of the colorectum

作　　者：邱立新[1] 伍冀湘[1] 梁秀芝[1] 武迎[1] 

机构地区：[1]首都医科大学附属北京安贞医院普外科,100029

出　　处：《中华普通外科杂志》2010年第9期734-736,共3页Chinese Journal of General Surgery

摘　　要：目的 探讨大肠海绵状血管瘤的临床特点、诊治原则,及腹腔镜下结肠、乙状结肠、直肠部分切除术在治疗大肠海绵状血管瘤中的运用方法及优越性.方法对8例大肠海绵状血管瘤患者的临床资料进行回顾性分析.结果 8例患者的病变累及直肠4例,直肠和乙状结肠3例,直肠、降结肠及乙状结肠1例,诊断明确后行腹腔镜下病变部位结、直肠、乙状结肠部分切除,术后恢复顺利,无死亡,无复发.结论 大肠海绵状血管瘤较为罕见,易误诊,常见病变部位为乙状结肠、直肠.腹腔镜下结肠、乙状结肠、直肠部分切除术治疗大肠海绵状血管瘤安全、有效.Objective To study the clinical characteristic and treatment of colorectal cavernous angioma and laparoscopic proctosigmoidectomy in colorectal cavernous angioma. Methods Clinical data of 8 colorectal cavernous angioma cases were analyzed. Results Cavernous hemangioma located in the rectum in 4 cases,in the proctosigmoid in 3 cases,and in the proctosigmoid and descending colon in one case.Under definite diagnosis,all cases underwent laparoscopic colorectomy,the postoperative recovery was satisfactory,and there was no postoperative mortality. Conclusions Colorectal cavernous angioma is rare,and usually be misdiagnosed.It commonly involves sigmoid and rectum.Laparoscopic proctosigmoidectomy is an effective way to deal with the disease.

关 键 词：血管瘤 海绵状 大肠 腹腔镜检查 外科手术 微创性 

分 类 号：R686[医药卫生—骨科学]