摘要
目的 探讨内镜在Dieulafoy病诊断与治疗中的价值。 方法 回顾性分析我院 1994年 6月～ 2 0 0 2年 6月 2 1例引起上消化道出血的Dieulafoy病的内镜下特征、治疗方法与效果。 结果 2 1例中 15例 (71 4 % )为 1次检查确诊 ,6例为 2次或 2次以上检查确诊。 17例经内镜止血成功 ,首次治疗成功 14例 (6 6 7% ) ,3例经 2次内镜止血成功 (14 3% ) ;4例外科手术治疗 (19 0 % )。 结论 Dieulafoy病的诊断与治疗 ,内镜为首选方法。
Objective To discuss the value of endoscopy in the diagnosis and treatment of Dieulafoy disease. Methods Twenty-one patients with upper gastrointestinal bleeding caused by Dieulafoy disease from June 1994 to June 2002 were analyzed retrospectively with regard to endoscopic features, therapeutic methods and outcomes. Results Of the 21 cases, diagnosis was confirmed in the first endoscopic examination in 15 cases (71.4%), and in two or more examinations in 6 cases. The bleeding was successfully stopped under endoscope in 17 cases: after the initial treatment in 14 cases (66.7%) and after the second treatment in 3 cases (14.3%), while the open surgery was required in 4 cases (19.0%). Conclusions Endoscopy is the alternative of the first choice in the diagnosis and treatment of Dieulafoy disease.
出处
《中国微创外科杂志》
CSCD
2004年第3期204-205,共2页
Chinese Journal of Minimally Invasive Surgery
