摘要：目的：探讨小儿小肠血管瘤的诊断，治疗方法。方法：对30例反复的消化道出血患儿剖腹探查，肠管造瘘，胃镜引导，诊断和治疗小儿小肠血管瘤。结果：本组患儿病灶位于空肠15例、回肠10例，广泛血管瘤(空肠、回肠、结肠)5例,29例患儿治愈出院,1例术后消化道再次出血而行手术治疗。结论：小儿小肠血管瘤术前诊断困难，常规肉眼剖腹探查手术，易盲目切除肠管，用肠管造瘘胃镜引导与肉眼观察相结合的方法，疗效满意。

    关键词： 小肠血管瘤； 胃镜； 肠管造瘘

    The Analysis of 30 Cases of Children-intestinal Angioma Resection Leading by Intestinal Fitula Under Gastroscope During the Operation

    CHEN Bin, HUANG Wen, SITU Peng， et al

    (Yuebei People’s Hospital, Guangdong Shaoguan 512026, China)

    Abstract： Objective: To investigate the diagnosis and treatment for children-intestinal angioma. Method: Exploratory laparotomy was performed for 30 cases of children with repeated hemorrhage of digestive tract during which hemorrhage foci were observed under gastroscope after enterostomy. The foci of intestinal angioma was removed. Result: The foci of 15 cases were located in jejunum, 10 were in ileum and 5 were extensive angiomain jejunum, ileum and colon. 29 cases were cured and discharged.Intestinal hemorrhage was occurred again and surgery was performed for only one case. Conclusion: It is difficult to diagnose children-intestinal angioma after operation. It is easy to remove normal intestinal canal during exploratory laparotomy observed by naked eyes. Observation combined by naked eyes and gastroscope after fistulization can make sure where the foci were and curative effect is satisfied. ......