摘要
背景:血管瘤是血管源性良性肿瘤,多见于头颈部,累及消化道少见,可引起消化道出血、腹痛等症状,严重者可危及生命。目的:探讨消化道血管瘤的临床特点、治疗和预后,为该病的诊治提供合适的方案。方法:回顾性分析2011年8月—2021年10月郑州大学第一附属医院收治的消化道血管瘤患者的一般资料、检查检验结果、治疗方法和转归,并进行总结分析。结果:共纳入51例消化道血管瘤患者,男女之比为1.43∶1,平均年龄为(46.2±19.2)岁。45例(88.24%)为单发消化道血管瘤,其中18例(35.29%)病变位于食管,其次为胃(15.69%)、小肠(15.69%)、结肠(11.76%)、直肠(9.80%)。大多数患者(50.98%)为无症状,15例(29.41%)表现为消化道出血。32例(62.75%)患者接受内镜治疗,其中25例行内镜下黏膜切除术(EMR),6例行内镜黏膜下剥离术(ESD),1例行内镜下套扎术;19例(37.25%)患者接受外科手术,包括经肛门直肠病变切除5例,小肠病变摘除术1例,病变消化道切除13例。所有患者术后恢复良好。平均随访时间为(61±32)个月,其中1例术后1年出现病变复发,4例死于其他疾病,其余患者未见肿瘤复发,5例患者失访。结论:消化道血管瘤少见,临床症状无特异性,内镜检查对其诊断具有重要的意义,对于符合适应证的病变,内镜下治疗安全有效。
Background:Hemangioma is a vasogenic benign tumor commonly seen in the head and neck.However,it is rare in gastrointestinal tract and can cause symptoms such as gastrointestinal bleeding and abdominal pain,and it also can be life⁃threatening in severe cases.Aims:To analyze the clinical characteristics,treatment,and prognosis of gastrointestinal hemangioma,and to provide appropriate therapy for the diagnosis and treatment of gastrointestinal hemangioma.Methods:The patients with gastrointestinal hemangioma from August 2011 to October 2021 at the First Affiliated Hospital of Zhengzhou University were collected,and the clinical data,examination results,treatment and prognosis were analyzed retrospectively.Results:A total of 51 patients with gastrointestinal hemangioma were included,the ratio of male to female was 1.43∶1,and the average age was(46.2±19.2)years old.Single gastrointestinal hemangioma was found in 45 patients(88.24%),and 18 lesions(35.29%)were in the esophagus,followed by the stomach(15.69%),small intestine(15.69%),colon(11.76%),and rectum(9.80%).The majority of patients were asymptomatic(50.98%),while 15 patients(29.41%)were presented by gastrointestinal bleeding.Thirty⁃two patients(62.75%)underwent endoscopic treatment,including 25 patients underwent endoscopic mucosal resection(EMR),6 patients underwent endoscopic submucosal dissection(ESD),and 1 patient underwent endoscopic ligation.Nineteen patients(37.25%)underwent surgical surgery,including 5 patients underwent transrectal lesion resection,1 patient underwent small intestinal lesion resection and 13 patients underwent resection of digestive tract.All patients recovered well after surgery.The average follow⁃up period was(61±32)months.One patient relapsed 1 year after surgery,4 patients died of other diseases,and the remaining patients did not occur tumor recurrence,and 5 patients were lost to follow⁃up.Conclusions:Gastrointestinal hemangioma is rare and has no specific clinical symptoms.Endoscopy is important for its diagnosis,and endos
作者
涂秋月
刘丹
史紫堉
赵丽霞
刘冰熔
TU Qiuyue;LIU Dan;SHI Ziyu;ZHAO Lixia;LIU Bingrong(Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou,450052)
出处
《胃肠病学》
北大核心
2023年第5期269-274,共6页
Chinese Journal of Gastroenterology
基金
河南省重点研发与推广专项项目(222102310038)。
关键词
血管瘤
胃肠出血
诊断
治疗
Hemangioma
Gastrointestinal Hemorrhage
Diagnosis
Therapy
