摘要
目的:分析消化道毛细血管扩张的临床及内镜特点，并评价内镜下治疗的效果。方法:回顾性分析2019年1月至2022年3月于包头医学院第二附属医院消化内镜中心行内镜检查诊断为毛细血管扩张的229例患者并进行随访，分析其临床特征及内镜下治疗效果。结果:229例患者中，男女比例为1.34∶1，平均年龄55.51(29~87)岁。上消化道毛细血管扩张部位以胃窦及胃体为主，下消化道毛细血管扩张部位以全结肠多发及回盲部为主。14例因消化道出血行内镜下治疗、12例行电凝止血术、1例行射频消融术、1例行电凝止血术后追加钛夹止血；内镜下治疗患者短期(7 d)内均未出现术后并发症，长期(8 d~6月)内有1例再次出现便血。结论:消化道毛细血管扩张好发于胃窦，多为单发性病变，内镜下电凝及射频消融术治疗安全有效，术中及术后并发症少，总体生存率高。
Abstract
Objective:To analyze the clinical and endoscopic characteristics of gastrointestinal telangiectasia of digestive tract, and evaluate the therapeutic effect of endoscopic treatment.Methods:Follow-up and retrospective analysis was made on 229 patients who were diagnosed with telangiectasia after endoscopic examination in the Digestive Endoscopy Center of the Second Affiliated Hospital of Baotou Medical College from January 2019 to March 2022. Clinical characteristics and endoscopic treatment effects of those cases were analyzed.Results:Among the 229 patients, the male to female ratio was 1.34∶1, with an average age of 55.51 (29-87) years. The main telangiectasis sites in the upper digestive tract were gastric antrum and stomach body, the telangiectasia of the lower digestive tract was mainly in the whole colon and ileocecal junction. Fourteen patients received endoscopic treatment for gastrointestinal bleeding, 12 patients received electrocoagulation and hemostasis, 1 patient received radiofrequency ablation, and 1 patient received additional titanium clamp hemostasis after electrocoagulation and hemostasis. No postoperative complications occurred in the short term (7 days). In the long term (8 days-6 months), 1 patient developed hematochezia again.Conclusion:Gastrointestinal telangiectasia tends to occur in the antrum of the stomach, most of which are single lesions. Endoscopic electrocoagulation and radiofrequency ablation are safe and effective in the treatment of gastrointestinal telangiectasia, with fewer intraoperative and postoperative complications and high overall survival rate.
基金项目
内蒙古自治区科技创新引导奖励资金项目(CXYD2022BT01)
内蒙古自治区高等学校科学技术研究项目(NJZY22054)
万方数据