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目的:评价肠血管畸形(IVM)普通X线检查征象的复杂性以及漏诊的原因。方法:回顾分析1980~1993年间10例肠血管畸形普通X线检查所见及手术病理检查结果。结果:2例有阳性X线征,其中1例呈溃疡性结肠炎形态,另1 例呈结肠脾曲多发息肉征。3例有共存病变,肠血管畸形漏诊。5例X线征象未能正确解释或未能认出,也均漏诊。结论:肠血管畸形普通X线检查的价值有限,重视其并发病变的表现有助于正确诊断。肠血管畸形的临床症状可以“肠血管恒径”作解释。临床及放射科医师必须对肠血管畸形提高认识
PURPOSE: To evaluate the complexity of the common X-ray findings of intestinal vascular malformations (IVM) and the causes of missed diagnosis. Methods: A retrospective analysis of 10 cases of intestinal vascular malformations seen in 1980 to 1993 and surgical pathology findings. Results: Two cases had positive X-ray sign, of which 1 case was ulcerative colitis morphology and the other 1 case was colon polyp splenic polyps sign. 3 cases had coexisting lesions, missed diagnosis of intestinal vascular malformations. 5 cases of X-ray signs failed to correctly explain or failed to recognize, are missed. Conclusion: The value of common X-ray examination of intestinal vascular malformations is limited. It is helpful to correctly diagnose the manifestation of the complicated lesion. The clinical symptoms of intestinal vascular malformations can be “intestinal vascular constant diameter” for explanation. Clinicians and radiologists must raise awareness of intestinal vascular malformations