12例胃肠道血管畸形的诊治体会

目的：探讨胃肠道血管畸形大出血的定位方法与治疗。方法：对12例胃肠道血管畸形大出血的患者，行急诊内镜检查与经选择性血管造影证实具体出血动脉后，再进一步对出血分支动脉行超选择性插管，置入造影道作为术中定位标记。结果：本组胃血管畸形4例，空肠血管畸形5例，回肠血管畸形1例，结肠血管畸形2例。手术时均顺利找到标记及出血部位，切除病变，全部治愈。结论：急诊内镜检查与选择性血管造影确定血管畸形后，置入导管作为术中寻找病变部位的定位标记，是一种非常有效的方法。手术切除治疗胃肠血管畸形并发大出血目前最有效的方法。

The diagnosis and treatment for 12 cases of gastrointestinal vessel malformation

Objective: To explore the location and therapy for hemorrhage of gastrointestinal vessel malformation. Methods: The 12 cases of gastrointestinal vessel malformation and hemorrage underwent artery angiography and endoscopy.A tube was put into vessel as a mark for location. Results: 4cases in gastric vessel malformation.8cases in intestiral vessel malformation.the mark and the bleeding spot were found successfully and the sick vessel was disserted. All cases were cured. Conclusion: Endoscopy and selective artery angiography,Putting atube into vessel as a mark was an effective methods.Operation was an effective way to cure gastrointestinal vessel malformation.