肠血管畸形的介入性处理

目的：探讨肠血管畸形的介入处理方法及临床意义。方法；由DSA诊断的肠血管畸形17例。4例用明显胶海绵对病变部位作了栓塞，13例用血管加压素作了动脉灌注并保留导管持结灌注24h，其中3例造影响导管作为定位标记，24h后外科手术，结果：入入处理24h后，全部患者便血停止，4例栓塞者。出现明显肠缺血症状1例。无肠梗死发生。随访0.5-2.5年，出血复发2例，结论：肠血管畸形介入处理方法包括栓塞、灌注和放置病变定位标记，这些方法简便易行、安全可靠，可视为首选方法。

Radiological intervention of intestinal vascular malformations

Objective: To study the way of interventional therapy of intestinal vascular malformations. Methods: 17 cases of intestinal vascular malformations with hemorrhage were diagnosed by DSA via femoral artery, from which 4 cases were performed embolization with gelform,and the other 13 cases performed infusion of vasopressin for 24 hours via a catheter placed in position of the bleeding artery.3 of them remained a catheter as a location mark and underwent a surgical operation 24 hours after radiological intervention. Results:Intestinal bleeding in all patients was stopped 24 hours after interventional treatwent. One of 4 patients following embolization demonstrated evident symptoms of intestinal ischemia,but no intestinal infarction. During the follow-up of 0.5 ～ 2.5 years,hemorrhage recurred in 2 patients. Conclusion: Radiological intervention of intestinal vascular malformations such as arterial embolization, infusion and placement of a catheter as a location mark for further surgical operation is simple,safe and effective and this is the method of choice.