小肠血管畸形致下消化道出血的诊治分析

Analysis of Diagnosis and Treatment on Lower Gastrointestinal Bleeding Caused by Small Intestinal Vascular Malformation(A Report of 12 Cases)

目的 总结小肠血管畸形致下消化道出血的诊治经验。方法 对 12例小肠血管畸形致下消化道出血的诊治进行回顾性分析。结果 ⑴本组下消化道出血以反复性、间歇性血便为主。⑵病程以 2～ 3年者最多。⑶本组病例手术后 10 0 %出血停止 ,未再复发。结论 ⑴小肠血管畸形致下消化道出血 ,出血期行选择性动脉造影及作好紧急手术探查准备。⑵术中结合应用内镜有助于诊断。

Objective To summarize the experience of diagnosis and treatment of lower gastrointestinal bleeding caused by small intestinal vascular malformation .Methods 12 patients with lower gastrointetinal bleeding caused by small intestinal vascular malformation were retrospectively reviewed.Results ⑴Repeated intermittent hematochezia were the most common cases in our date of lower gastrointestinal bleeding caused by small intestinal vascular malformation.⑵The most common course of disease was 2～3 years.⑶Bleeding was halted after operation in 100% cases and no one relapse.Conclusions ⑴Active bleeding period should be evaluated firstly by angiography and prepare to emergency operation.⑵By treatment combined with enteroscopy during operation could help to diagnose.⑶Surgical operation is the most effective treatment for bleeding of small intestinal vascular malformation.