Hagihara P F, Chuang V P, Griffen W O
Am J Surg. 1977 Jun;133(6):681-7. doi: 10.1016/0002-9610(77)90153-2.
Arteriovenous malformations have become recognized as a major cause of massive bleeding of the colonic origin. Although an arteriographic unit capable of serial magnification is ideal for detecting arteriovenous malformations in the bowel, the diagnosis may still be made by a combined approach of conventional arteriography, colonoscopy and operative juddment. the final diagnosis rests on gross and histologic demostration of vascular malformations in the excised specimen.
动静脉畸形已被公认为结肠源性大出血的主要原因。尽管具备连续放大功能的血管造影设备对于检测肠道动静脉畸形最为理想,但仍可通过传统血管造影、结肠镜检查及手术判断相结合的方法做出诊断。最终诊断取决于切除标本中血管畸形的大体及组织学表现。