老年人胃肠道血管畸形的临床特点研究

Clinical characteristics of gastrointestinal vascular malformation in the elderly

目的研究老年人胃肠道血管畸形的发病特点及治疗方法。方法收集首都医科大学宣武医院2010年1月1日-2016年1月1日住院诊断为胃肠道血管畸形患者89例(伴有/不伴有消化道出血)。其中老年组(年龄≥60岁)患者48例,非老年组患者41例。分别对两组胃肠道血管畸形患者的发病部位、消化道出血发生率、内镜下治疗方法、治疗后再出血及相应处置进行比较。结果两组胃肠道血管畸形患者的发病部位差异有统计学意义(P<0.05);而两组患者在消化道出血发生率、内镜下治疗方法、治疗后再出血及相应处置方面比较,差异无统计学意义(P>0.05)。结论老年人的小肠和结肠血管畸形发病率高。内镜下止血术具有创伤小、可重复操作、并发症少等优点,适用于老年患者。

Objective To investigate the characteristics and treatment methods of elderly gastrointestinal vascular malformation. Methods Eighty-nine cases diagnosed as gastrointestinal vascular malformation（ with / without gastrointestinal bleeding） were collected from Jan. 2010 to Jan. 2016 in Xuanwu Hospital of Capital Medical University. They were divided into two groups： elderly group（ age over 60 years old） with 48 patients and non elderly group with 41 patients. Pathogenic site,incidence of gastrointestinal bleeding,endoscopic treatment method,bleeding again after endoscopic treatment and the corresponding disposal were compared between two groups. Results The pathogenic site of gastrointestinal vascular malformation was statistically different between two groups（ P〈0. 05）. There were no significant differences in the incidence of gastrointestinal bleeding,endoscopic treatment methods,rebleeding after treatment and the corresponding disposal between two groups（ P〉0. 05）. Conclusion Small intestine and colon are high incidences of vascular malformations in the elderly. Endoscopic hemostasis has the advantages of less trauma,repeatable operation and less complications for elderly.