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治疗对胃肠道血管发育异常出血率的影响。

Effect of therapy on bleeding rates in gastrointestinal angiodysplasia.

作者信息

Hutcheon D F, Kabelin J, Bulkley G B, Smith G W

出版信息

Am Surg. 1987 Jan;53(1):6-9.

PMID:3492162
Abstract

Sixteen patients with gastrointestinal angiodysplasia requiring transfusion were treated with surgical resection, endoscopic electrocautery, or transfusion alone. Pre- and post-therapy transfusion requirements in each group were compared to gauge the efficacy of each therapy. No superiority of any treatment could be shown statistically. The majority of patients had multiple angiodysplastic lesions throughout the gastrointestinal tract, and, accordingly, complete resolution of bleeding after therapy occurred in fewer than one-half of the patients.

摘要

16例需要输血的胃肠道血管发育异常患者接受了手术切除、内镜电灼或单纯输血治疗。比较了每组治疗前后的输血需求,以评估每种治疗方法的疗效。统计学上无法显示任何一种治疗方法的优越性。大多数患者在整个胃肠道有多个血管发育异常病变,因此,治疗后出血完全缓解的患者不到一半。

相似文献

1
Effect of therapy on bleeding rates in gastrointestinal angiodysplasia.治疗对胃肠道血管发育异常出血率的影响。
Am Surg. 1987 Jan;53(1):6-9.
2
Is argon plasma coagulation an efficient treatment for digestive system vascular malformation and radiation proctitis?氩离子凝固术是治疗消化系统血管畸形和放射性直肠炎的有效方法吗?
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Acta Gastroenterol Latinoam. 1985;15(1):49-54.
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[Difficulties in diagnosis and surgical treatment of the angiodysplasia of the gastrointestinal tract].[胃肠道血管发育异常的诊断与外科治疗难点]
Chirurgia (Bucur). 2008 Sep-Oct;103(5):513-28.
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[Angiodysplasia of the intestine--rational diagnosis and therapy].
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Endoscopic control of upper gastrointestinal hemorrhage with a bipolar coagulation device.使用双极凝血装置进行上消化道出血的内镜控制。
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Changing epidemiology of gastrointestinal angiodysplasia with increasing recognition of clinically milder cases: angiodysplasia tend to produce mild chronic gastrointestinal bleeding in a study of 47 consecutive patients admitted from 1980-1989.随着对临床症状较轻病例的认识增加,胃肠道血管发育异常的流行病学发生变化:在一项对1980年至1989年连续收治的47例患者的研究中,血管发育异常往往导致轻度慢性胃肠道出血。
Am J Gastroenterol. 1992 Feb;87(2):201-6.
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[Hemorrhagic angiodysplasia of the upper digestive tract: endoscopic diagnosis and treatment].[上消化道出血性血管发育异常:内镜诊断与治疗]
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Argon plasma coagulation in the management of symptomatic gastrointestinal vascular lesions: experience in 100 consecutive patients with long-term follow-up.氩离子凝固术治疗有症状的胃肠道血管病变:100例连续患者的长期随访经验
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Diagnostic and therapeutic considerations for obscure gastrointestinal bleeding in patients with chronic kidney disease.慢性肾脏病患者隐匿性胃肠道出血的诊断与治疗考量
Ann Gastroenterol. 2019 Mar-Apr;32(2):113-123. doi: 10.20524/aog.2018.0341. Epub 2018 Dec 20.
2
Angiodysplasia: a review.血管发育异常:综述
J R Soc Med. 1991 Oct;84(10):615-8. doi: 10.1177/014107689108401017.