肠道血管畸形出血的介入放射学诊治价值

目的：评价介入放射学方法诊断肠道血管畸形的准确性和治疗肠道出血的价值。材料与方法：采用Ｓｅｄｉｎｇｅｒ技术，对２２例可疑肠道血管畸形导致消化道出血者，并经非介入性有性或诊断不明确病例作肠系膜上或／和肠系膜下动脉或腹腔干动脉造影，结果：２２例３１支动脉造影均发现病变并确诊为肠道血管畸形，其中１４例行外科手术治疗，并经病理结果证实。

Hemorrhage of Gastrointestinal Vascular Malformation:Value of Diagnosis and Therapy of Interventional Radiology

Purpose:To evaluate the accuracy of diagnosing the gastrointestinal vascular malformation and the value of treatment of the hemorrhage of the interventional radiology.Materials and Methods:The superior mesenteric arteriography or/and the inferior mesenteric arteriography or arteriography of coeliac axis were performed by applying Seldinger's techniques in 22 cases with the gastrointestinal bleeding which were suspicous of the gastrointestinal vascular malformation,otherwise were negative or equivocal in di- agnosis by performing with non-interventional study.Results:Focci were detected in 31 arteriographies (22 cases)with the positive gastrointestinal vascular malformation.Operative treatment were performed in 14 of 22 cases,with confimation of the vascular malformation pathologically.Conclusion:The se- lective coeliac arteriography may be a reliably unique method in detection of the gastrointestinal vascular malformation.