摘要
目的 探讨腹腔镜联合介入对小肠出血性疾病的诊断及治疗价值。方法 对2001—2004年常规检查难以明确病因的12例小肠出血性疾病患者行腹腔镜联合介入及病理学检查。结果 12例均接受腹腔镜联合介入检查。腹腔镜下直接发现病灶4例，联合应用介入检查发现病灶9例；病理检查确诊平滑肌肉瘤1例，平滑肌瘤1例，小肠腺瘤1例，血管畸形5例，炎性肠病2例，克隆病1例，Meckel憩室炎伴出血1例。结论 腹腔镜联合介入检查对常规检查无法明确病因的小肠出血有较好的诊断及治疗价值。该技术方法简单、创伤小、病变检出率高。
Objective To evaluate laparoscopy combined with digital subtraction angiography for the diagnosis and management of small intestinal bleeding. Methods From 2001 to 2004 ten patients with chronic melena or persisted melena complicated with chronic anemia and 2 cases of acute alimentary tract hematorrhea complicated with hypovolemia underwent laparoscopy combined with digital subtraction angiography. Results Laparoscopy assisted by digital subtraction angiography were accomplished in all of the 12 cases. Lesions were detected in 4 cases with laparoscopy directly, and in 9 cases the pathological changes were discovered by laparoscopy assisted with digital subtraction angiography. The pathologic diagnosis established including leiomyosarcoma in 1 case, leiomyoma in 1 case, adenoma of small intestine in 2 cases, vascular malformation in 5 cases, hemorrhagic enteritisi in 2 cases, Crohn＇s disease in 1 case and Meckel＇s diverticulitis with hemorrhage in 1 case. Conclusion The diagnostic and treatment value of laparoscopy assisted with digital subtract angiography is superior to the routine examination in detecting the small intestinal bleeding. This technique has the advantage of simple, less-traumatic and high sensitivity.
出处
《中华普通外科杂志》
CSCD
北大核心
2007年第4期274-276,共3页
Chinese Journal of General Surgery
关键词
胃肠出血
腹腔镜
血管造影术
Gastrointestinal hemorrhage
Laparoscopes
Angiography
