肠系膜下动脉造影和纤维结肠镜检查诊断与治疗缺血性肠炎

目的 探讨肠系膜下动脉造影及纤维结肠镜检查对缺血性肠炎的病因诊断和诊断价值.方法 对49例经结肠镜及活检明确诊断者,再行肠系膜下动脉造影以确定其病因,其中3例还加做肠系膜上动脉造影以判断全身疾病对该病有否影响.结果 49例肠镜检查发现有不同程度的局部黏膜充血、水肿、接触性出血.活检结果:有炎性细胞浸润,黏膜下出血,水肿及多纤维素血栓和含铁血黄素沉着.病变均位于左半结肠.肠系膜下动脉造影发现,3例主干完全阻塞并有侧支循环形成,31例主干有不同程度狭窄,动脉床显影不满意.另15例肠系膜下动脉床不显影或显影不满意.3例主干完全阻塞者加作肠系膜上动脉造影,结果未发现任何异常.结论 肠系膜下动脉造影及纤维结肠镜检查对缺血性肠炎的诊断和判明其病因有肯定作用.

Effect of Clonoscopy Plus Selective Angiography on the Diagnosis of Ischemic Enterocolitis

Objective To study the value of the enteroscopy and the mesenteria inferior angiography in cause-detecting and diagnos of the ischemic enterocolitis.Methods49 patients,which were continmed by enteroscopy and biopsy,were performed mesenteria inferior angiography to determine the cause.Three of them were given extra mesenteria superior angiography to observe whether ischemic was affected by other disease.ResultsThe enteroscopy revealed congestion,edema and bloody through contracting in 49 cases.There were inf...