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编号:11007611
结直肠弥漫性海绵状血管瘤的诊断与治疗
http://www.100md.com 《结直肠肛门外科杂志》 2006年第2期
弥漫性海绵状血管瘤,,弥漫性海绵状血管瘤;直结肠;诊断;治疗,1临床资料,2讨论,参考文献
     摘要 目的:探讨结直肠弥漫性海绵状血管瘤的诊断与治疗方法。方法:1994年至2005年手术治疗6例,其中全结直肠弥漫性海绵状血管瘤1例,直肠乙状结肠弥漫性海绵状血管瘤4例,直肠弥漫性海绵状血管瘤1例。结果:术后随访6月至10年,4例患者无便血,2例患者有少量的间歇性大便带血。结论:肠镜和影像学检查是诊断结直肠海绵状血管瘤的重要方法,保留肛门括约肌功能手术是结直肠弥漫性海绵状血管瘤有效的治疗方法。

    关键词 弥漫性海绵状血管瘤;直结肠;诊断;治疗

    Diagnosis and Treatment of Colorectal Diffuse Cavernous Hemangioma

    Wang Hantao, Tu Yue, Meng Ronggui, et al. Department of Colorectal Surgery, Changhai Hospital, Shanghai 200433. China

    Abstract Objective:To explore the diagnosis and treatment method of Colorectal diffuse cavernous hemangioma. Methods:Six cases of large intestinal diffuse cavernous hemangiomas were surgically treated from 1994 to 2005, with whole Colorectal involved in 1 case, rectosigmoid colon in 4 cases, rectum in 1 case.Results:Followedup for 6 months to 10 years, 4 patients had no further anal bleeding and 2 patients had minor intermittent anal bleeding. Conclusion:Colonoscopy and imaging study play an important role in the diagnosis. Sphinctersaving procedure is an appropriate and curative approach for the treatment of diffuse cavernous hemangioma. ......

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