结肠血管扩张症的诊断和治疗  

Diagnosis and treatment of colon vascular ectasias

作　　者：邓跃华[1] 刘弋[1] 王光升[1] 韩涵[1] 

机构地区：[1]安徽医科大学第一附属医院普外科,合肥230022

出　　处：《安徽医科大学学报》2002年第4期311-313,共3页Acta Universitatis Medicinalis Anhui

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　对 9例结肠血管扩张症所致下消化道出血的诊断和治疗情况进行分析。结果　 5例纤维结肠镜检查发现结肠血管扩张性病变 ;4例肠系膜血管造影发现结肠血管扩张症 ;5例非手术治疗 ,4例行手术治疗 ;其中右半结肠切除术 3例 ,乙状结肠切除术 1例。结论　提高对本病的认识 ,结肠血管扩张症是下消化道出血的原因之一。手术切除范围应包括内镜、血管造影及手术探查发现病变范围的相加 。Objective To evaluate the diagnosis and treat ment of lower gastrointe stinal tract bleeding caused by colon vascular ectasias. Methods The diagnosis and treatment of 9 patients with lower gastrointestinal tract bleeding caused b y colon vascular ectasias were analyzed. Results Five patients w ith colon angiect atic lesion were diagnosed by fibercolonoscopy and four patients with colon vasc ular ectasias by mesentery angiography. Five patients were conservatively tr eated. Surgery was performed in 4 patients: right hemicolec tomy in 3 cases and sigmoidectomy in 1 case. Conclusion Clinicia ns should enhance full understanding for this disease. Colon vascular ectasias is one of the cause s of lower gastrointestinal tract bleeding.All suspected segments deteted by abo ve techniques should be resected to avoid rebleeding.

关 键 词：结肠疾病 诊断 治疗 胃肠出血 扩张术 

分 类 号：R656.9[医药卫生—外科学]