DSA诊断小肠血管畸形的价值  

Value of DSA in Diagnosis of Intestinal Vascular Malformation

作　　者：刘西平[1] 王立新[1] 

机构地区：[1]成都市第三人民医院介入科,四川成都610031

出　　处：《实用放射学杂志》2001年第1期41-43,共3页Journal of Practical Radiology

摘　　要：目的 :探讨DSA诊断小肠血管畸形的价值。方法 :本文分析 8例小肠血管畸形患者的临床及DSA特征 ,其中男性 6例 ,女性 2例 ,所有患者均行肠系膜上、下动脉造影。结果 :临床特征 :①急性消化道出血为主要症状 ;②常规检查一般为阴性 ;③血红蛋白含量短期内降至 4～ 6 g/ml。DSA特征 :①动静脉瘘 ;②局部肠壁染色增浓 ;③局部血管异常增多 ,结构紊乱。 结论 :DSA是诊断血管畸形所致小肠出血的最有效的方法。Objective:To evaluate the value of DSA in diagnosis of intestinal vascular malformation.Methods:The clinical and DSA characters in 8 patients with small intestinal malformation were analyzed.There were 6 males and 2 females.All patients were underwent selective and supper selective superior mesenteric inferior mesenteric or colic artery angiographies.Results:The clinical fectures:1)the main sympton is acute lower gastrointestinal bleeding;(2)the results of conventional examination were generally negative;(3)the hemoglobin was dropped down to 4～6 g/ml in a short period.DSA feactures included:(1)artery-vein fistula;(2)markedly stainning in local small intestinal walls;(3)abnormal hyperplasia and distubance of small vessels.Conclusion:DSA is the most valuable method in diognosis of atute intestinal bleeding.

关 键 词：DSA 小肠血管畸形 诊断 小肠出血 

分 类 号：R656.704[医药卫生—外科学] R816.5[医药卫生—临床医学]