急慢性空回肠出血DSA检查的临床价值
Journal of Diagnostic Imaging and Interventional Radiology(2004)
Abstract
目的探讨急慢性空回肠出血患者的DSA检查,进一步提高其临床应用价值.方法回顾性分析26例行肠系膜上动脉DSA造影的空回肠出血的患者的DSA表现,并与手术及病理所见进行对照分析.结果DSA检查阳性有20例,总阳性率76.9%,间质瘤(平滑肌瘤,肉瘤,纤维瘤)6例,腺瘤(癌)5例,DSA表现为肿瘤血管,肿瘤染色,静脉早显,造影剂外溢不显著.转移瘤3例,造影剂呈小点状、环形聚集.血管畸形4例,显示扭曲、增粗、不规则的畸形血管及增粗引流静脉.憩室3例,表现为造影剂浓集区.坏死性小肠炎2例,表现为血管影密集.结论DSA检查对于急性、慢性空回肠出血的诊断价值很大,尤其是对于肿瘤性病变和血管畸形的定性定位准确.
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Key words
hemorrhage,dsa,jejun-ilealintestine
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