| 胃肠道血管畸形的内镜下特点 |
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| 引用本文： | 丁士刚,林三仁,吕愈敏,冯晓宏,徐肇敏,周丽雅,李益农. 胃肠道血管畸形的内镜下特点[J]. 中华消化内镜杂志, 1995, 0(6) |
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| 作者姓名： | 丁士刚 林三仁 吕愈敏 冯晓宏 徐肇敏 周丽雅 李益农 |
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| 作者单位： | 北京医科大学第三医院消化科，北京首钢医院，南京鼓楼医院 |
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| 摘 要： | 胃肠道血管畸形是引起不明原因消化道出血的原因之一。我院１９７６年至１９９３年共行内镜检查５２０４７例，检出胃肠道血管畸形１２３例，内镜检出率为０．２４％。其中行胃镜检查３９２０７例，检出血管畸形４６例（０．１２％）；行全大肠镜检查３４９４例，检出血管畸形４９例（１．４０％），病变在大肠的分布为：盲肠１８％，升结肠１５％，横结肠１９％，降结肠１６％，乙状结肠２１％，直肠１１％；行乙状结肠镜检查９３４６例，检出血管畸形２８例（０．３０％）。在１２３例胃肠道血管畸形中引起消化道出血４６例（３７．４％）。根据内镜下形态可将其分为四型。内镜检查为本病的首选诊断方法。
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| 关 键 词： | 胃肠道，血管畸形，内镜 |
GASTROINTESTINAL VASCULAR MALFORMATION ENDOSCOPIC AND CLINICAL ANALYSIS IN 123 CASES |
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| Ding Shigang,Lin Sanren,Lu Yumin,et al. GASTROINTESTINAL VASCULAR MALFORMATION ENDOSCOPIC AND CLINICAL ANALYSIS IN 123 CASES[J]. Chinese Journal of Digestive Endoscopy, 1995, 0(6) |
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| Authors: | Ding Shigang Lin Sanren Lu Yumin et al |
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| Affiliation: | Digestive Disease Research Center of Beijing Medical University |
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| Abstract: | Gastrointestinal vascular malformation(GIVM) is one of the major causes of gastrointestinal bleeding of obscure origin. We detected 123 cases among 52 047 cases by endoscopy during the period of 1976 to 1993. Endoscopic detection rate is about 0. 24 % . Fourty six cases among 39 207 cases(0. 12% )were discovered with gastroscopy. Fourty nine cases from 3 494 cases(1. 40% )were discovered with total colonoscopic examinations. The distribution of the lesions in the colon was as follows :cecum 18 %,ascending colon 15 % ,transverse colon 19 %,descending colon 16 % ,sigmoid colon 21 %,rectum 11 %. Twenty eight cases from 9346 cases(0. 30% )revealed with sigmoidscopy. Bleedings were observed in 46 cases among 123 cases(37. 4%). GIVM was classified into four types according to endoscopic morphological findings. Endoscopy is the most effective technique in diagnosis at time being. |
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| Keywords: | Gastrointestinal tract Vascular malformation Endoscopy |
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