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14例诊断困难的小肠肿瘤患者经选择性肠系膜上动脉造影检查作出诊断,并经术后病理证实。其中7例因消化道大出血急诊造影。造影结果显示血运丰富型肿瘤10例,包括平滑肌瘤6例、平滑肌肉瘤3例、错构瘤1例;少血管型肿瘤2例:低分化腺癌1例、乳头状腺癌1例;血管畸形2例:均为血管瘤。对诊断困难的消化道出血,选择性肠系膜上动脉造影可作为常规检查方法。
Fourteen patients diagnosed with small bowel tumors were diagnosed by selective superior mesenteric artery angiography and confirmed by postoperative pathology. 7 cases of emergency diagnosis of gastrointestinal bleeding. Angiography showed that there were 10 cases of blood-rich tumors, including 6 cases of leiomyoma, 3 cases of leiomyosarcoma, 1 case of hamartoma, 2 cases of less vascular tumor, 1 case of poorly differentiated adenocarcinoma and 1 case of papillary adenocarcinoma. 2 cases of vascular malformations: all hemangiomas. For the diagnosis of gastrointestinal bleeding, selective superior mesenteric artery angiography can be used as a routine examination.