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肠动静脉畸形的术中定位

Intraoperative localization of intestinal arteriovenous malformation.

作者信息

Evans W E, O'Dorisio T M, Molnar W, Martin E W, Wooley C F, Cooperman M

出版信息

Arch Surg. 1978 Apr;113(4):410-2. doi: 10.1001/archsurg.1978.01370160068010.

DOI:10.1001/archsurg.1978.01370160068010
PMID:305773
Abstract

Intestinal arteriovenous malformation (AVM) is an uncommon cause of gastrointestinal hemorrhage and is difficult to diagnose. Selective visceral angiography is essential to make the diagnosis and to localize the lesion. We treated two patients in whom AVMs of the small intestine were located by means of arteriography and intraoperative selective mesenteric venous pressure and PO2 measurements. The local venous return from an intestinal AVM is characterized by elevated venous pressure and PO2 levels compared with the venous drainage of adjacent normal intestine.

摘要

肠道动静脉畸形(AVM)是胃肠道出血的一种罕见病因,且难以诊断。选择性内脏血管造影对于做出诊断和确定病变位置至关重要。我们治疗了两名患者,通过动脉造影以及术中选择性肠系膜静脉压力和氧分压测量确定了小肠动静脉畸形的位置。与相邻正常肠段的静脉引流相比,肠道动静脉畸形的局部静脉回流表现为静脉压力和氧分压水平升高。

相似文献

1
Intraoperative localization of intestinal arteriovenous malformation.肠动静脉畸形的术中定位
Arch Surg. 1978 Apr;113(4):410-2. doi: 10.1001/archsurg.1978.01370160068010.
2
[Selective superior mesentery arteriography and guide wire as an intraoperative mark in small intestine for resection of arteriovenous malformation].[选择性肠系膜上动脉造影及导丝作为小肠动静脉畸形切除术中的标记]
Zhonghua Wai Ke Za Zhi. 1996 May;34(5):300-2.
3
[Arteriovenous malformation as the cause of massive intestinal bleeding].[动静脉畸形作为大量肠道出血的病因]
Rofo. 1988 Feb;148(2):203-4. doi: 10.1055/s-2008-1048177.
4
Use of Doppler ultrasound in intraoperative localization of intestinal arteriovenous malformation.多普勒超声在肠道动静脉畸形术中定位中的应用。
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Pre- and intraoperative localization of small bowel arteriovenous malformation.小肠动静脉畸形的术前及术中定位
J Clin Gastroenterol. 1986 Apr;8(2):166-70. doi: 10.1097/00004836-198604000-00012.
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Colonic arteriovenous malformation in a child misinterpreted as an idiopathic colonic varicosis on angiography: remarks on current classification of childhood intestinal vascular malformations.儿童结肠动静脉畸形在血管造影时被误诊为特发性结肠静脉曲张:关于儿童肠道血管畸形当前分类的评论
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Arteriovenous malformation of the intestine. An uncommon cause of gastrointestinal bleeding.肠道动静脉畸形。胃肠道出血的罕见原因。
Arch Surg. 1972 Mar;104(3):284-7. doi: 10.1001/archsurg.1972.04180030032009.
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Arteriovenous malformation of the cecum: report of six cases.盲肠动静脉畸形:6例报告
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Arteriovenous malformations of the intestine.
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Angiographic selective methylene blue staining of an occult small-bowel arteriovenous malformation.隐匿性小肠动静脉畸形的血管造影选择性亚甲蓝染色
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引用本文的文献

1
Arteriovenous Malformation of the Jejunum, Causing Massive Gastrointestinal Bleeding, Treated With Intraoperative Enteroscopy Guidance: A Case Report.空肠动静脉畸形致大量胃肠道出血,术中肠镜引导下治疗:一例报告
Cureus. 2023 Jun 4;15(6):e39940. doi: 10.7759/cureus.39940. eCollection 2023 Jun.
2
Laparoscopic resection of idiopathic jejunal arteriovenous malformation after metallic coil embolization.金属线圈栓塞术后腹腔镜下切除特发性空肠动静脉畸形
Surg Case Rep. 2018 Jul 18;4(1):78. doi: 10.1186/s40792-018-0486-4.
3
Methylene blue enteric mapping for intraoperative localization in obscure small bowel hemorrhage: report of a new technique and literature review: combined intraoperative methylene blue mapping and enterectomy.
亚甲蓝肠黏膜染色法在不明原因小肠出血术中定位中的应用:一项新技术的报告及文献复习:术中联合亚甲蓝染色与肠切除术。
J Gastrointest Surg. 2012 Nov;16(11):2177-81. doi: 10.1007/s11605-012-1964-9. Epub 2012 Jul 12.
4
Jejunoileal arteriovenous malformation: localization for resection by segmental bowel staining techniques.空回肠动静脉畸形:通过肠段染色技术进行切除定位
Ann Surg. 1980 Apr;191(4):404-9. doi: 10.1097/00000658-198004000-00003.
5
Portal hypertension due to jejunal vascular malformation.空肠血管畸形所致门静脉高压
Gastrointest Radiol. 1985;10(4):349-51. doi: 10.1007/BF01893129.
6
Evaluation and management of massive lower gastrointestinal hemorrhage.大量下消化道出血的评估与处理
Ann Surg. 1989 Feb;209(2):175-80. doi: 10.1097/00000658-198902000-00007.
7
Role of arteriography in rectal hemorrhage due to arteriovenous malformations and diverticulosis.动脉造影术在动静脉畸形和憩室病所致直肠出血中的作用。
Ann Surg. 1979 Aug;190(2):203-13. doi: 10.1097/00000658-197908000-00013.
8
Use of Doppler ultrasound in intraoperative localization of intestinal arteriovenous malformation.多普勒超声在肠道动静脉畸形术中定位中的应用。
Ann Surg. 1979 Jul;190(1):24-6. doi: 10.1097/00000658-197907000-00005.