下消化道出血118例诊治分析

目的分析下消化道出血病因,总结诊治经验。方法对1999年1月至2009年12月诊治的118例下消化道出血的临床资料进行回顾性分析。结果下消化道出血发生原因依次为肿瘤(69.5%)、血管畸形(13.6%)、炎症性肠病(5.9%)、肠憩室(5.9%),均经手术或病理证实。结论肿瘤及血管畸形是引起下消化道出血的主要原因。增强螺旋CT扫描、内镜、选择性肠系膜血管造影、核素扫描是下消化道出血的主要诊断方法。

Diagnosis and treatment of lower gastrointestinal bleeding of 118 cases

Objective To analyze the causes, diagnosis and treatment of lower gastrointestinal bleeding. Methods From Jan. I999 to Dec. 2009, diagnosis and treatment of 118 patients with lower gastrointestinal bleeding pathologically confirmed were retrospectively analyzed. Results The cause of lower gastrointestinal bleeding were as follows in turn： tumors （69.5 %）, vascular malformations （13.6 %）,inflammatory bowel disease（5.9 %）, intestinal diverticula（5.9 %）. Conclusion Tumors and vascular malformations were the main causes of lower gastrointestinal bleeding. Enhanced helical CT scan,endoscopy, selective angiography and radionuclide scanning are the major diagnostic methods for lower gastrointestinal hemorrhage.