CAJ | 학술논문

不明原因消化道出血的血管造影诊断与手术病理对照研究
불명원인소화도출혈적혈관조영진단여수술병리대조연구
Selective angiographic diagnosis of unknown reason gastrointestinal hemorrhage: Correlation with pathology

万方数据

介入放射学杂志介入放射學雜誌 개입방사학잡지
JOURNAL OF INTERVENTIONAL RADIOLOGY
2001年 1期 8-10 ,共3页

席嘉元%吕梁%邓钢%杨珏%江勇%李纪康%曹新华%米岚%杨维新%龙毓灵%范红%杨朝良%朱君%杨正忠

석가원%려량%산강%양각%강용%리기강%조신화%미람%양유신%룡육령%범홍%양조량%주군%양정충

消化道出血%血管造影%病理%诊断%介入性消化道齣血%血管造影%病理%診斷%介入性
소화도출혈%혈관조영%병리%진단%개입성

目的　探讨选择性血管造影对不明原因消化道出血的诊断价值。方法　32例急性或慢性反复消化道出血患者，其中上消化道出血26例，下消化道出血6例，全部病例经Seldinger's法靶动脉插管DSA或/和PUCK造影。结果　定位诊断率为84.38%(27/32例)，与手术诊断的符合率为78.95%(15/19)。病变性质为：肿瘤性病变9例，血管性病变15例，其中血管畸形9例、肠小动脉瘤2例、胆囊动脉瘤破裂出血1例、动脉硬化3例；非特异性炎症溃疡3例，造影阴性5例。直接显示出血征象(造影剂外溢)23例(71.87%)。结论　选择性血管造影对不明原因的急慢性消化道出血的定位、定性诊断有肯定价值，尤其对小肠和胆道出血病变的诊断更具独特的优越性。
목적　탐토선택성혈관조영대불명원인소화도출혈적진단개치。방법　32례급성혹만성반복소화도출혈환자，기중상소화도출혈26례，하소화도출혈6례，전부병례경Seldinger's법파동맥삽관DSA혹/화PUCK조영。결과　정위진단솔위84.38%(27/32례)，여수술진단적부합솔위78.95%(15/19)。병변성질위：종류성병변9례，혈관성병변15례，기중혈관기형9례、장소동맥류2례、담낭동맥류파렬출혈1례、동맥경화3례；비특이성염증궤양3례，조영음성5례。직접현시출혈정상(조영제외일)23례(71.87%)。결론　선택성혈관조영대불명원인적급만성소화도출혈적정위、정성진단유긍정개치，우기대소장화담도출혈병변적진단경구독특적우월성。
Objective　　To evaluate the diagnostic value of selective angiography for unknown reason gastrointestinal hemorrhage. Methods　32 patients with acute or chronic gastrointestinal recurrent hemorrhage were examined. Among them, 26 patients had upper gastrointestinal hemorrhage and 6 with inferior gastrointestinal hemorrhage. All patients were under gone DSA and/or Puck angiography with Seldinger's technique. Results　The accuracy of localization was 84.38%(27/32) and the coincident rates with the operation or pathology was 78.95%(15/19). In all of patients, tumor of 9 case were shown and 15 cases of vascular diseases, namely, 9 with vascular malformation, 2 with small intestinal aneurysm, 3 with arteriosclerosis and 1 with broken gallbladder aneurysm; 3 cases of ulcer or nonspecific inflammation and 5 cases were negative. 23 cases (71.87%) showed the direct hemorrhagic sign, namely the contrast media extra vasation. Conclusions　Selective angiography is very helpful for determining the location and the character of unknown reasoned acute or chronic gastrointestinal hemorrhage, especially for the hemorrhage of the small intestine and biliary tracts.