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目的:探讨胃Dieulafoy病临床特点及诊断、治疗方法。方法:回顾性分析23例胃Dieulafoy病患者的临床资料。结果:内镜检查确诊18例,手术确诊4例,血管造影确诊1例。13例首次内镜下止血成功未发生再出血,3例再次行内镜止血,短期内未出血。7例患者行手术治疗。结论:内镜为诊断和治疗Dieulafoy病的首选方法,对治疗失败者可再行外科手术或栓塞治疗。
Objective: To investigate the clinical features of Dieulafoy’s disease and its diagnosis and treatment. Methods: The clinical data of 23 patients with gastric Dieulafoy disease were retrospectively analyzed. Results: 18 cases were confirmed by endoscopy, 4 cases were diagnosed by operation and 1 case was diagnosed by angiography. Thirteen patients underwent endoscopic hemostasis without rebleeding, three underwent endoscopic hemostasis again, and no hemorrhage occurred within a short period of time. Seven patients underwent surgical treatment. Conclusions: Endoscopy is the preferred method of diagnosis and treatment of Dieulafoy’s disease, and may be surgically or embolized for treatment failure.