肠血管畸形——普通X线检查的表现  

Intestinal Vascular Malformations:Conventional X-ray Manifestations

作　　者：宋兆祺[1] 石群立[1] 

机构地区：[1]南京军区南京总医院,210002

出　　处：《实用放射学杂志》1999年第10期597-599,共3页Journal of Practical Radiology

摘　　要：目的：评价肠血管畸形（ＩＶＭ）普通Ｘ线检查征象的复杂性以及漏诊的原因。方法：回顾分析１９８０～１９９３年间１０例肠血管畸形普通Ｘ线检查所见及手术病理检查结果。结果：２例有阳性Ｘ线征，其中１例呈溃疡性结肠炎形态，另１ 例呈结肠脾曲多发息肉征。３例有共存病变，肠血管畸形漏诊。５例Ｘ线征象未能正确解释或未能认出，也均漏诊。结论：肠血管畸形普通Ｘ线检查的价值有限，重视其并发病变的表现有助于正确诊断。肠血管畸形的临床症状可以“肠血管恒径”作解释。Objective:To evaluate the complexity of X-ray signs of intestinal vascular malformation(IVM)and the causes of misdiagnosis.Methods:To analyse the conventional X-ray signs and operative pathological results of 10 cases of IVMs retrospectively.Results:2 cases had positive X-ray signs,of them,1 cases displayed the signs of ulcerative colitis,and 1 case displayed multiple polyp in splenic flexure of colon.3 cases had co-existent diseases,IVMs were missed.In another 5 cases,the X-ray signs were not correctly explained or recognized,IVMs were also missed.Conclusion:The capability for diagnosis of IVMs with conventional X-ray methods was limited.To pay attention to the manifestations of complication is helpful for correct diagnosis.Clinical manifestations may be explained by 'Intestinal caliber-persistence'.Clinicians and radiologists must recognize further IVMs.

关 键 词：肠血管畸形 小肠 结肠 X线摄影 

分 类 号：R654.404[医药卫生—外科学] R816.5[医药卫生—临床医学]