南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (10): 1508-.

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直肠毛细血管扩张症的腹腔镜诊治:罕见的下消化道出血1例并文献复习

陈钊城,邓海军   

  • 出版日期:2015-10-20 发布日期:2015-10-20

Laparoscopic diagnosis and treatment of rectum telangiectasia: report of a rare form of
lower gastrointestinal hemorrhage

  • Online:2015-10-20 Published:2015-10-20

摘要: 直肠毛细血管扩张症是一种导致下消化道出血的罕见肠血管畸形,本文报道1例接受腹腔镜辅助腹会阴联合直肠切除术
的乙状结肠、直肠毛细血管扩张症并出血患者。术中通过腹腔镜检直观判断肠壁外病变范围、程度,直接取得病理活检证据,并
且同期施行确定性手术,达到微创效果。

Abstract: We report a case of rectum telangiectasia, a rare form of lower gastrointestinal hemorrhage caused by vascular
malformation. The patient underwent laparoscopic assisted abdomino-perineal resection of the sigmoid colon-rectum
telangiectasia. The extent and degree of pathological changes were observed directly from the intestinal wall during
laparoscopic surgery, and after collection of biopsy evidence, concomitant definitive surgery was performed to achieve a
minimally invasive effect.