目的:探讨DSA诊断小肠血管畸形的价值。方法:本文分析21例小肠血管畸形患者的临床及DSA特征,其中男性14例,女性7例,所有患者均行肠系膜上、下动脉造影。结果:临床特征:①急性消化道出血为主症状;②常规检查一般为阴性;③血红蛋白含量短期内降至4~6 g/mL。DSA特征:①动静脉瘘;②局部肠壁染色增浓;③局部血管异常增多,结构紊乱。其中12例进行了动脉导丝栓塞,2例栓塞后出血,进行外科手术切除。结论:DSA是诊断血管畸形所致小肠出血的最有效的方法,动脉导丝栓塞是安全,有效的治疗方法,同时为外科手术切除提供的正确部位。
Citation:
LIU Xiping,CHEN Yucan,HU Qiaojun.. Value of DSA in Diagnosis and Interventional Treatment of Intestinal Vascular Malformalion. West China Medical Journal, 2009, 24(2): 349-351. doi:
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- 1. Boley SJ,Sammartana S,Adams A,etal.On the mature and etiology of vascular ectasias of the colon:degenerativ elesions of aging[J].Castroenterology,1977,72(3):650-657..
- 2. 智发朝.我国小肠疾病的研究现状[J].世界华人消化杂志,2003,11(5):499-500..
- 3. 刘西平,王立新.DSA诊断小肠血管畸形的价值[J].实用放射学杂志,2001,17(1):41-42..
- 4. 王寿九.选择性腹部动脉造影在小肠出血间歇期中的诊断价值[J].中华内科杂志,1995,34:52-53..
- 5. Whitaker SC.The role of angiography in the invertigation of acute and chronic gastrointestinal hemorrhage[J].Clin Radial,1993,47(3):382..
- 6. Wagner HE.Systematic assessment of masive hemorrhage of the lower part of the gastrointestinal tract[J].SurgGynecol Obstet,1992,175(5):445..
- 7. 王成宏.血管介入技术在小肠出血诊治中的作用[J].中国实用外科杂志,2004,24(3):175.