摘要
目的探讨胃Dieulafoy病的诊断及治疗。方法分析总结25例胃Dieulafoy病的病灶部位、内镜下表现及治疗方法,结果病灶位于贲门周围者占32.0%,胃体小弯侧44.0%,胃底16.0%,胃体大弯侧8.0%。病灶直径<2mm者占72.0%,2～4mm者占28.0%。内镜下金属夹钳夹止血11例,手术治疗14例,均止血成功,术后病理提示胃黏膜下恒径小动脉瘤。结论对突发不明原因的上消化道大出血者,应想到胃Dieulafoy病,该病的诊断主要依靠胃镜,治疗以内镜下治疗为主。
Objective] To analyze the diagnose and therapy of gastic Dieulafoy. [Methods] The focus, endoscopic manifestation and therapy methods of 25 cases with gastic Dieulafoy were analyzed retrospectively. [Results] The focus location was at cadiac orifice(32.0%), lesser curvature of stomach(44.0%), gastic fundus(16.0%), greater curvature of stamach(8.0%). The diameter of focus <2 mm (72.0%), 2～4 mm (28.0%). 11 cases used metal forceps clip haemostasis under endoscope, 14 cases used operation therapy, All cases succeeded in hemostasis. Operation pathology revealed small aneurysm under gastic mucosa. [Conclusion] Gastic Dieulafoy should be considered in patients with upper gastrointestinal bleedind of sudden undefined cause. The diagnosis of gastic Dieulafoy is dependent on gastic endoscope and the main therapy method is endoscopic therapy.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第5期549-551,共3页
China Journal of Endoscopy
关键词
胃Dieuhfoy病
上消化道出血
止血
胃镜
gastic Dieulafoy′s disease
upper gastrointestinal bleeding
hemostasis
gastroscope
