术中内镜检查诊治Dieulafoy7例
【摘要】 目的 探讨急诊剖腹探查术中胃镜检查对诊治黏膜下胃恒径动脉畸形(胃Dieulafoy)的价值。方法 回顾对7例胃Dieulafoy患者急诊剖腹探查、术中胃镜检查，评价其价值。结果 7例胃Dieulafoy均能一次性检出病灶，术中内镜平均15 min，无一例出现术中胃肠镜检查相关并发症，所有患者手术顺利。结论 术中结合胃镜检查，能提高对Dieulafoy病的检出率，且能对病灶准确定位，可提高手术的安全性和成功率。【关键词】 Dieulafoy；内镜；剖腹探查术
Lntraoperative Endoscopy Examination for Diagnosis and Therapy of7 Cases With Dieulafoys Sisease
YANG Chang-qing，LIN Hai-feng，ZHENG Wen-qi，GONG Jin-rong.
Department of Gastroenterology, the Affiliated Hospital of Putian College,351100,China
【Abstract】 Objective This study was to evaluate the application of intraoperative endoscopy during the emergency exploratory laparotomy in thepatients with Dieulafoys disease. Methods Seven patients with Dieulafoys disease were examined retrospectively by intraoperative endoscopy during the emergency exploratory laparotomy and the value was assessed. Results All seven cases of a gastric Dieulafoy lesion were detected once. It took an average of 15 minutes for intraoperative endoscopy,there were no case of surgery arised inspection-related complications during gastroscopy and colonoscopy in all patients.All patients had successful surgery.Conclusion The combination of intraoperative endoscopy can improve the detection rate of Dieulafoys disease and the exact location of lesions.It also can improve the safety and success rate of surgery. ......
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