选择性动脉造影诊断小肠出血(附16例分析)

Diagnosis of Enteric Hemorrhage with Selective Arteriography: A Report of 16 Cases

目的 探讨小肠出血的动脉造影征象 ,提高小肠出血的诊断水平。材料与方法 16例消化道出血患者 ,进行选择性动脉造影 (包括腹腔动脉、胃十二指肠动脉、肠系膜上动脉、肠系膜下动脉 )。结果 10例发现阳性征象 ,经手术及病理证实。 2例空肠良性溃疡 ,3例小肠憩室 ,1例绒癌小肠转移 ,2例小肠血管畸形 ,2例小肠平滑肌肉瘤。 4例同时进行介入治疗。

Objective To study the angiographic signs of enteric hemorrhage, and to improve the diagnostic accuracy for it.Materials and Methods Selective arteriography, including celiac artery, gastroduodenal artery, SMA and IMA, was performed in 16 cases with enteric hemorrhage.Results Positive signs were found in 10 cases, and were proved both surgically and pathologically, including benign jejunal ulcer (n=2), enteric diverticulum (n=3), metastasis from chorioepithelioma (n=1), malformation of enteric vessels (n=3) and leiomyosarcoma of small intestine (n=2). Four cases were managed with interventional procedures.Conclusion Selective angiography is very helpful for determining the cause and the site of enteric hemorrhage.