结直肠弥漫性海绵状血管瘤8例的诊断与治疗分析  

Analysis of diagnosis and treatment of colorectal diffuse cavernous hemangioma:a report of 8 cases

作　　者：吴卫[1] 李德钢[1] 庞黎明[1] WU Wei;LI De-gang;PANG Li-ming(The Second Department of Surgery, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China)

机构地区：[1]广西中医药大学第一附属医院外二科,南宁530023

出　　处：《中国临床新医学》2020年第9期910-913,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的分析结直肠弥漫性海绵状血管瘤的诊断与治疗方法。方法回顾性分析2010-01~2019-01在该院接受手术治疗的8例结直肠弥漫性海绵状血管瘤患者情况。结果8例患者均接受手术治疗。所有患者术后恢复良好,术后无患者需要输血,手术半年后大便控制可2~3次/d。结论术前进行肠镜及腹部CT、CTV及MRI检查,不仅明确诊断,还可以确定病变范围。结直肠弥漫性海绵状血管瘤的最佳治疗是完全切除病灶以及完整地保护肛门括约肌的功能。Objective To analyze the diagnosis and treatment methods of colorectal diffuse cavernous hemangioma.Methods From January 2010 to January 2019,the data of 8 colorectal diffuse cavernous hemangioma patients undergoing surgical treatment at our hospital were retrospectively analyzed.Results The eight patients diagnosed with colorectal diffuse cavernous hemangioma were treated with surgery,and all the patients recovered well after the operation.No patients needed blood transfusion after the operation.Stool control could be done 2~3 times per day half a year after the operation.Conclusion Preoperative examinations of enteroscopy and abdominal CT,CTV and MRI can not only confirm the diagnosis,but also determine the scope of the lesions.The best treatment for colorectal diffuse cavernous hemangioma is to remove the focus thoroughly and protect the function of the anal sphincter completely.

关 键 词：结直肠弥漫性海绵状血管瘤 诊断 治疗 

分 类 号：R735.3[医药卫生—肿瘤]