期刊论文

The value of digital subtraction angiography in diagnosing small intestinal hem orrhage

中文

中国医学工程

1672-2019

2009

17

1

10-12

本校为第一机构

目的 探讨DSA血管造影对小肠出血的诊断价值.方法 29例小肠出血惠者,均经Seldinger法行肠系膜上动脉插管造影.结果 显示出血直接征象12例,出血问接征象14例,其中7例同时具有直接征象和间接征象.直接诊断出血21例,阳性率72%.病变性质为:肿瘤性病变12例,其中平滑肌瘤7例,平滑肌肉瘤3例,间质瘤1例,小肠癌1例;6例空肠良性溃疡,3例小肠憩室,血管畸形3例,炎症2例.阳性病例与手术病理诊断的符合率为80%,定位诊断符合率100%.结论 DSA血管造影对小肠出血的定位、定性诊断有肯定的价值.

[Objective] To discuss the diagnostic value of DSA for hem orrhage of smallintestine. [Methods] 29 patients with hem orrhage of small intestine were performed angiography with Seldinger＇s-teehnique through superior mesenterie artery. [Results] 12 cases demonstrated direct signs of hemorrhage, 14 cases of indirect signs of hem orrhage and 7 with both of the signs. The positive rate of hem orrhage was 72% including 12 cases of tumor （7 leiomyomas, 3 leiomyosareomas, 1 interstitialtumor, 1 smallintestinalcancer）, including 5 eases of benign jej...