摘要
目的 探讨胃Dieulafoy病的内镜诊断与治疗。方法 回顾性分析16例引起上消化道出血的胃Dieulafoy病的临床表现、内镜下特征、治疗方法与效果。结果 16例中有12例(75%)为1次检查确诊,4例为2次或2次以上检查确诊;其中14例经内镜止血成功,首次治疗成功10例(62.5%)。4例经2次内镜止血成功(25%),2例需外科手术(12.5%)。结论 在胃Dieu-lafoy病的诊断及治疗中,内镜为首选方法。
Objective To investigate the endoscopic diagnosis and treatraent of Dieulafoy's disease. Methods Sixteen patients who had upper gastrointestinal bleeding from Dieulafoy s disease were analysed retrospectively with regard to the clinical and endoscopic features, the method and outcome of therapy. Results Of 16 patients, 12 were diagnosed in the first endoscopy examination(75%), 4 needed two or more examinations. Fourteen cases were treated with endoscopy successfully. It was successful in 10 cases(62.5% ) by first endoscopic therapy. But another 4 cases(25% ) were achieved with additional endoscopic therapy, surgical treatment was needed in 2 cases (12.5%) . Conclusions Endoscopic diagnosis and treatment should be regarded as the first choice for Dieulafoy's disease.
出处
《全科医学临床与教育》
2004年第2期83-84,共2页
Clinical Education of General Practice
