27例空回肠出血的诊断分析  

Diagnosis of jejunal and ileal hemorrhage——clinical report of 27 cases

作　　者：石力[1] 田伏洲[1] 周庆贤[1] 李旭[1] 赵碧[1] 薛刚[1] 

机构地区：[1]成都军区总医院全军普外中心,610083

出　　处：《消化外科》2002年第6期421-422,共2页Journal of Digestive Surgery

摘　　要：目的　对经手术证实的 2 7例空回肠出血患者进行分析 ,探讨空回肠出血的病因诊断。方法　 2 7例空回肠出血患者分别进行B超、小肠气钡造影、选择性血管造影、术中肠镜等检查 ,最后均以手术及病理证实。结果　出血原因中 ,肿瘤 14例 (5 1.9% ) ,血管发育不良 5例 (18.5 % ) ,Meckel憩室 4例 (14 .8% ) ,Crohn’s病 3例 (11.1% )空肠非特异性溃疡 1例 (3.7% )。术中肠镜检查 6例 ,阳性诊断率为 83.3%(5 6 ) ,阳性符合率为 10 0 % ;选择性动脉造影 12例 ,阳性诊断率为 6 6 .7% (8 12 ) ,阳性符合率为 87.5 % ;气钡双重造影 17例 ,阳性诊断率为 2 3.5 % (4 17) ,阳性符合率为 10 0 % ;B超检查 2 7例 ,阳性率为 2 5 .9% (7 2 7) ,阳性符合率为 85 .7%。结论　肿瘤为空回肠出血的主要原因。除传统的诊断方法外 。Objective To investigate the etiological diagnosis of jejunal and ileal hemorrhage. Methods Twenty-seven patients diagnosed as jejunal or ileal hemorrhage were examined with B ultrasound, enteroclysis, angiography and intraoperative enteroscopy. The diagnosis was confirmed by operation and pathology. Results Intestinal tumors were found in fourteen cases, angiodysplasia in five cases, Meckel's diverticulum in four cases, Crohn's disease in three cases and intestinal nonspecific ulcer in one case. The positive rate of intraoperative enteroscopy, angiaography, enteroclysis and B ultrasound was 83.3%, 66.7%, 23.5% and 25.9% respectively. Conclusions Tumor is the one of main causes of jejunal and ileal hemorrhage. As the traditional techniques, B ultrasound plays an important role in the diagnosis of jejunal and ileal hemorrhage.

关 键 词：空回肠出血 诊断 治疗 

分 类 号：R656.7[医药卫生—外科学]