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本文报告在1150例全结肠镜检查中发现结肠血管畸形21例,检出率为1.8%.50岁以上老年人占85.7%.病变分布为:直肠4.8%、左半结肠42.8%、右半结肠38.1%、全结肠14.3%.根据内镜下形态特点将其分为三型:Ⅰ型(局限型)14例;Ⅱ型(弥漫型)3例;Ⅲ型(血管瘤样型)4例.21例血管畸形中引起下消化道出血8例(38%),对其中6例采用内镜下电凝治疗,获得良好疗效,未发生严重并发症.内镜是结肠血管畸形的首选诊断和治疗方法.
In this paper, 1150 cases of colonic vascular malformations were found in 1150 cases of colon colonoscopy, the detection rate was 1.8%, 85.7% of the elderly over the age of 50. Lesions distribution: 4.8% of the rectum, 42.8% of the left colon, right colon 38.1%, and 14.3% of the whole colon. According to the morphological characteristics of endoscopy, they were divided into three types: type I (localized type) in 14 cases, type II (diffuse type) in 3 cases and type III (type of hemangioma in 4 cases). 21 cases of vascular malformations caused by lower gastrointestinal bleeding in 8 cases (38%), of which 6 cases by endoscopic electrocoagulation treatment, access to good effect, no serious complications. Endoscopy is the first choice for diagnosis and treatment of colonic vascular malformations method.