22例胃肠道嗜酸性肉芽肿诊治分析

An Analysis on Diagnosis and Treatment in 22 Cases with Gastrointestinal Eosinophilic Granuloma

[目的]分析胃肠道嗜酸性肉芽肿诊治体会。[方法]对1980年1月至2004年9月收治的22例胃肠道嗜酸性肉芽肿的临床资料进行回顾性分析。[结果]20例行内镜检查,误诊为胃溃疡10例,误诊为胃癌5例,误诊为结肠癌2例,误诊为结肠息肉1例。21例行手术切除,1例经肠镜行高频电切治疗,无1例治疗后复发。[结论]该病的误诊率高,手术治疗是该病的主要治疗方法。

[Purpose]To analyse the experience in diagnosis and treatment of gastrointestinal eosinophilic granuloma. [Methods]Clinical data of 22 patients with gastrointestinal eosinophilic granuloma from Jan. 1980 to Sep.2004 were analyzed retrospectively. [Results] Of 20 patients undergoing endoscopy, 18 were misdiagnosed as gastric ulcer, 10 cases; gastric cancer, 5 cases; colon cancer, 2 cases; and colon polyp, 1 case. Twenty-one cases underwent gastrectomy or enterectomy ,1 case underwent endoscopic resection.No recurrence was found after surgery. [Conclusions]The misdiagnostie rate in incidence of gastrointestinal eosinophilic granuloma is very high. Surgery is the major treatment for gastrointestinal eosinophilic granuloma.