肠道动静脉畸形的诊断与治疗8例
http://www.100md.com
柴新群, 邓飞涛, 蒋春舫, 冯贤松
动静脉畸形;血管造影;术中内镜检查,柴新群，邓飞涛，蒋春舫，冯贤松，,通讯作者：,Diagnosisandtreatmentofarteriovenousmalform
参见附件(1kb)。
柴新群，邓飞涛，蒋春舫，冯贤松，华中科技大学同济医学院附属协和医院普外科 湖北省武汉市 430022
通讯作者：柴新群，430022，湖北省武汉市解放大道1277号，华中科技大学同济医学院附属协和医院普外科. xinqunc@yahoo.com
电话：027-85726399 传真：027-85726399
收稿日期：2005-07-19 接受日期：2005-07-28
Diagnosis and treatment of arteriovenous malformation of gastrointestinal tract: an analysis of 8 cases
Xin-Qun Chai, Fei-Tao Deng, Chun-Fang Jiang, Xian-Song Feng
Xin-Qun Chai, Fei-Tao Deng, Chun-Fang Jiang, Xian-Song Feng, Department of General Surgery, the Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China
Correspondence to: Dr. Xin-Qun Chai, Department of General Surgery, the Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Road, Wuhan 430022, Hubei Province, China. xinqunc@yahoo.com
Received: 2005-07-19 Accepted: 2005-07-28
Abstract
AIM: To summarize the clinical diagnosis and treatment of gastrointestinal hemorrhage induced by arteriovenous malformation of the gastrointestinal tract.
METHODS: From December 1999 to January 2005, 8 patients were diagnosed with arteriovenous malformation of the gastrointestinal tract in our hospital, and their clinical data were retrospectively analyzed.
RESULTS: Of the 8 patients, enteroscopy was totally performed 12 times on 5 patients due to the hemorrhage of unknown reasons, but no lesions were found. Arteriovenous malformations were confirmed in 3 cases by angiography and two by angiography integrated with intraoperative endoscopy. Blind surgeries were totally performed 5 times on 3 patients, and therapeutic embolization was successfully followed on 2 of them. One case died of severe hemorrhage. The 7 patients were in the follow up for 6-66 mo, and 1 died of cerebral apoplexy.
CONCLUSION: Angiography and intraoperative endoscopy are more effective in the diagnosis of arteriovenous malformation of the gastrointestinal tract.
Key Words: Arteriovenous malformation; Angiography; Intraoperative endoscopy
Chai XQ, Deng FT, Jiang CF, Feng XS. Diagnosis and treatment of arteriovenous malformation of gut: an analysis of 8 cases. Shijie Huaren Xiaohua Zazhi 2005;13(17):2153-2156
摘要
目的：总结肠道动静脉畸形导致消化道出血的临床诊断及治疗过程.
方法：对我院1999-12/2005-01收治的8例肠道动静脉畸形导致消化道出血患者的临床资料进行回顾性分析.
结果：本组8例，5例由于不明原因出血(大便潜血试验为阳性)先后行胃镜检查12次，均未见出血灶；血管造影5例，其中3例明确诊断；另2例结合术中内镜检查发现病灶，此5例行病变肠段切除病理证实为小肠单发或多发血管畸形.3例先后行盲目手术(盲目胃大部切除术和盲目剖腹探查术)共5次，均未解决根本问题，其中2例行2次介入栓塞治疗成功；另1例死于大出血.7例患者随访6-66 mo，1例死于脑出血，其余6例在随访中.
结论：血管造影及术中内镜检查有利于发现肠道动静脉畸形病灶，以便更准确的确定病变部位从而成功切除.
关键词：动静脉畸形；血管造影；术中内镜检查
柴新群，邓飞涛，蒋春舫，冯贤松. 肠道动静脉畸形的诊断与治疗8例. 世界华人消化杂志 2005;13(17):2153-2156
0 引言
动静脉畸形(arteriovenous malformation)可发生在肠管任何部位，是引起急、慢性消化道出血的少见原因之一.主要表现为出血，贫血，或肠套迭(如形成肿块), 大多数病变可无症状 ......
柴新群，邓飞涛，蒋春舫，冯贤松，华中科技大学同济医学院附属协和医院普外科 湖北省武汉市 430022
通讯作者：柴新群，430022，湖北省武汉市解放大道1277号，华中科技大学同济医学院附属协和医院普外科. xinqunc@yahoo.com
电话：027-85726399 传真：027-85726399
收稿日期：2005-07-19 接受日期：2005-07-28
Diagnosis and treatment of arteriovenous malformation of gastrointestinal tract: an analysis of 8 cases
Xin-Qun Chai, Fei-Tao Deng, Chun-Fang Jiang, Xian-Song Feng
Xin-Qun Chai, Fei-Tao Deng, Chun-Fang Jiang, Xian-Song Feng, Department of General Surgery, the Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China
Correspondence to: Dr. Xin-Qun Chai, Department of General Surgery, the Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Road, Wuhan 430022, Hubei Province, China. xinqunc@yahoo.com
Received: 2005-07-19 Accepted: 2005-07-28
Abstract
AIM: To summarize the clinical diagnosis and treatment of gastrointestinal hemorrhage induced by arteriovenous malformation of the gastrointestinal tract.
METHODS: From December 1999 to January 2005, 8 patients were diagnosed with arteriovenous malformation of the gastrointestinal tract in our hospital, and their clinical data were retrospectively analyzed.
RESULTS: Of the 8 patients, enteroscopy was totally performed 12 times on 5 patients due to the hemorrhage of unknown reasons, but no lesions were found. Arteriovenous malformations were confirmed in 3 cases by angiography and two by angiography integrated with intraoperative endoscopy. Blind surgeries were totally performed 5 times on 3 patients, and therapeutic embolization was successfully followed on 2 of them. One case died of severe hemorrhage. The 7 patients were in the follow up for 6-66 mo, and 1 died of cerebral apoplexy.
CONCLUSION: Angiography and intraoperative endoscopy are more effective in the diagnosis of arteriovenous malformation of the gastrointestinal tract.
Key Words: Arteriovenous malformation; Angiography; Intraoperative endoscopy
Chai XQ, Deng FT, Jiang CF, Feng XS. Diagnosis and treatment of arteriovenous malformation of gut: an analysis of 8 cases. Shijie Huaren Xiaohua Zazhi 2005;13(17):2153-2156
摘要
目的：总结肠道动静脉畸形导致消化道出血的临床诊断及治疗过程.
方法：对我院1999-12/2005-01收治的8例肠道动静脉畸形导致消化道出血患者的临床资料进行回顾性分析.
结果：本组8例，5例由于不明原因出血(大便潜血试验为阳性)先后行胃镜检查12次，均未见出血灶；血管造影5例，其中3例明确诊断；另2例结合术中内镜检查发现病灶，此5例行病变肠段切除病理证实为小肠单发或多发血管畸形.3例先后行盲目手术(盲目胃大部切除术和盲目剖腹探查术)共5次，均未解决根本问题，其中2例行2次介入栓塞治疗成功；另1例死于大出血.7例患者随访6-66 mo，1例死于脑出血，其余6例在随访中.
结论：血管造影及术中内镜检查有利于发现肠道动静脉畸形病灶，以便更准确的确定病变部位从而成功切除.
关键词：动静脉畸形；血管造影；术中内镜检查
柴新群，邓飞涛，蒋春舫，冯贤松. 肠道动静脉畸形的诊断与治疗8例. 世界华人消化杂志 2005;13(17):2153-2156
0 引言
动静脉畸形(arteriovenous malformation)可发生在肠管任何部位，是引起急、慢性消化道出血的少见原因之一.主要表现为出血，贫血，或肠套迭(如形成肿块), 大多数病变可无症状 ......
您现在查看是摘要介绍页，详见PDF附件(1kb)。