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结肠和直肠的弥漫性海绵状血管瘤是一种少见的疾病,治疗不当者可出现致命的出血。它应与痔、肛裂、血管发育不良、范围不广的肠道血管瘤病、新生物,血液病和肠道炎性疾患相鉴别。唯一可靠的治疗方法是完全切除肿瘤。作者对1950年以来,文献报道的25例经病理证实为弥漫性海绵状血管瘤的手术病例,加上他的2例直肠弥漫性海绵状血管瘤病例,一并讨论了其病理、诊断和治疗方法。在肉眼检查中,弥漫性海绵状血管瘤表现为广泛的网状血管湖,累及整个肠壁,并浸润到周围的结缔
Diffuse cavernous hemangioma of the colon and rectum is an uncommon disease that can cause fatal bleeding if not treated properly. It should be distinguished from delirium, anal fissure, vascular dysplasia, incomplete range of intestinal angiomatosis, neoplasms, hematological disorders, and intestinal inflammatory disorders. The only reliable treatment is to completely remove the tumor. The author has reported 25 cases of surgically confirmed diffuse cavernous hemangiomas confirmed by pathology in the literature since 1950, together with his 2 cases of diffused cavernous hemangioma of the rectum, together with his pathology, diagnosis, and treatment. method. In macroscopic examination, diffuse cavernous hemangiomas exhibit extensive reticulovascular vasculitis, involving the entire intestinal wall and infiltrating the surrounding connective