结肠血管扩张症的诊断和治疗

目的探讨结肠血管扩张症致下消化道出血的诊断和治疗.方法对9例结肠血管扩张症所致下消化道出血的诊断和治疗情况进行分析. 结果 5例纤维结肠镜检查发现结肠血管扩张性病变;4例肠系膜血管造影发现结肠血管扩张症;5例非手术治疗,4例行手术治疗;其中右半结肠切除术3例,乙状结肠切除术1例. 结论提高对本病的认识,结肠血管扩张症是下消化道出血的原因之一.手术切除范围应包括内镜、血管造影及手术探查发现病变范围的相加,以防再出血.

Diagnosis and treatment of colon vascular ectasias

Objective To evaluate the diagnosis and treat ment of lower gastrointe stinal tract bleeding caused by colon vascular ectasias. Methods The diagnosis and treatment of 9 patients with lower gastrointestinal tract bleeding caused b y colon vascular ectasias were analyzed. Results Five patients w ith colon angiect atic lesion were diagnosed by fibercolonoscopy and four patients with colon vasc ular ectasias by mesentery angiography. Five patients were conservatively tr eated. Surgery was performed in 4 patients: right hemicolec tomy in 3 cases and sigmoidectomy in 1 case. Conclusion Clinicia ns should enhance full understanding for this disease. Colon vascular ectasias is one of the cause s of lower gastrointestinal tract bleeding.All suspected segments deteted by abo ve techniques should be resected to avoid rebleeding.