论文部分内容阅读
目的 探讨纤维结肠镜和选择性血管造影对缺血性肠炎的诊断价值。方法 对全组 8例病人进行纤维结肠镜检查并就其中 4例有长期心血管病史者加作选择性肠系膜下动脉造影。结果 肠镜检查 8例 ,其患处肠壁均有粘膜水肿、接触易出血。活体组织检查均有不同程度纤维素血栓存在和含铁血黄素沉着。选择性肠系膜下动脉造影 4例中 1例示该动脉闭塞并有侧支循环形成 ,另外 3例均见肠系膜下动脉及其分支有不同程度狭窄 ,管腔变细 ,相关分支造影剂充盈不满意 ,部分末梢有充盈缺损现象。结论 纤维结肠镜检查和选择性肠系膜下动脉造影对缺血性肠炎具有肯定诊断作用。
Objective To investigate the diagnostic value of fibro-colonoscopy and selective angiography in ischemic enteritis. Methods Eight patients in our study were enrolled in this study. Colonoscopy was performed on 4 patients with long-term cardiovascular disease and selective inferior mesenteric artery angiography. Results of colonoscopy in 8 cases, the affected area of intestinal mucosal edema, contact with bleeding. In vivo biopsy has varying degrees of presence of fibrinous thrombus and hemosiderin. One case of selective inferior mesenteric artery angiography showed that the artery was occluded and collateral circulation was formed. In the other three cases, the inferior mesenteric artery and its branches had different degrees of stenosis, the lumen became thinner, the relevant branch of contrast medium was not satisfied, Some peripheral filling defect phenomenon. Conclusion Fiberoptic colonoscopy and selective inferior mesenteric artery angiography have a positive diagnostic value for ischemic enteritis.