小肠毛细血管扩张症的诊治

Diagnosis and treatment of intestinal telangiectasis

目的探讨小肠毛细血管扩张症的诊治。方法结合我院近期收治的3例小肠毛细血管扩张症患者的临床资料进行分析。结果3例术前均通过选择性肠系膜动脉造影明确诊断为小肠血管病变,均行病变肠段切除术治疗。其中1例治愈,1例术后少量再出血(大便隐血阳性),1例术后多次肠吻合口瘘死亡。结论小肠毛细血管扩张症常是多发的,并且常不能治愈;其肠系膜边缘血管可有不连续的现象,行肠吻合术的位置需注意避开此区域。

Objective To investigate the diagnosis and treatment of intestinal telangiectasis. Methods Clinical data of 3 cases with intestinal telangiectasis treated recently in our hospital were reviewed. Results All the cases were definitely diagnosed as vascular disease of small intestine by selective contrast of mesenteric artery before operation. They all underwent excision of pathologic intestinal segment.One case was cured and one case complicated with a little bit of re hemorrhage (positive OB test). Another case suffered from anastomotic fistula for many times after operation and died finally. Conclusions Intestinal telangiectasis is often multiple and hard to be cured radically. It′s mesenteric marginal branch may be interrupted and intestinal anastomosis should be avoided in this area .