肠血管畸形致下消化道出血42例报告

A retrospective study of 42 patients with lower gastrointestinal hemorrhage caused by vascular malformation

目的探讨肠血管畸形致下消化道出血的治疗方法和疗效。方法对42例肠血管畸形所致下消化道出血病人的临床资料进行回顾性分析。结果经选择性血管造影确诊35例(83.3%)。经血管造影后介入治疗治愈28例(66.7%),经内镜治愈1例(2.4%),手术治愈13(31.0%)例。结论选择性血管造影加血管介入栓塞术是诊断和治疗肠血管畸形的首选有效手段,外科手术切除病灶仍是治疗肠血管畸形出血最可靠方法之一。

Objective To evaluate the treatments and curative effectiveness of the lower gastrointestinal hemorrhage(LGH)caused by vascular malformation.Methods A retrospective study of 42 patients with LGH caused by vascular malformation was done.Results Diagnosis was confirmed by selective angiography in 35 patients.Twenty eight were cured by vascular lesion embolization,13 by surgical operation,and one by endoscopy.Conclusion Selective angiography plus vascular embolization was a safe and effective technique for LGH.However surgical resection of the lesion is still most reliable.