小肠血管瘤的诊断和治疗

目的探讨小肠血管瘤的有效诊断方法，减少误诊。方法回顾性分析该院1981年6月～2004年9月收治的小肠血管瘤患者20例。结果全组患者有轻重不等的贫血，临床主要表现为呕血、便血或黑便，部分患者有腹痛、腹胀，容易误诊。发病部位十二指肠、空肠各7例，回肠5例，空旧肠交界1例。剖腹探查并手术治疗18例，单纯胃镜检查、血管造影检查确诊各1例。结论小肠血管瘤发病部位隐蔽，多种检查方法存在其局限性，手术探查并结合纤维内镜检查是一最有效的确诊手段。

Diagnosis and treatment of small intestine haemangioma

[Objective] To investigate the effective methods of diagnosis of small intestine haemangioma and reduce the chances of misdiagnosis. [Methods] Twenty patients suffered from small intestine haemangioma hospitalized from June, 1981 to September, 2004 were retrospectively analyzed. [Results] All patients presented with different degree of anemia, and the cardinal clinic symptoms were hematemesis, hematochezia and melena, some presented with abdominal pain or distention. They were easily to be misdiagnosed. The lesion of haemangioma located in duodenum in 7 patients, jejunum in 7, ileum in 5 and borderline of jejunoileum in 1. Eighteen patients were treated with exploratory laparotomy, and the other two cases were diagnosed by gastroscopy or angiography. [Conclusions] The lesions of small intestine haemangioma are obscured, and some methods of diagnosis have their limitation. Exploratory laparotomy combining with intraoperative endoscopy is considered to be the most effective method for diagnosis of the small intestine haemangioma.