胃嗜酸性肉芽肿若干临床问题探讨──附33例报告

The Clinical Surveys of Gastric Eosinophilic Granuloma──33 cases report

本文分析了３３例胃嗜酸性肉芽肿（ＧＥＧ）的临床、Ｘ线、胃镜、手术及病检结果。讨论了ＧＥＧ的病因、诊断及治疗。认为ＧＥＧ是在慢性胃炎或胃溃疡的基础上机体对食物或药物产生的局部过敏反应，由于反应强烈程度不尽相同，导致了大体形态差异给诊断造成困难，因而Ｘ线、胃镜甚至手术中常误诊胃溃疡或胃癌。强调胃镜挖掘（ｅｘｃａｖａｔｉｏｎ）式活检对术前确诊及术后多部位取材对排除癌变的重要性。对激素治疗持异议，主张手术治疗以避免穿孔、出血乃至癌变的遗漏。

cases of Gastric Eosinophilic Graunloma(GEG) were surveyed on respects of clinical features, X-ray phenomenen、endoscope、surgical intervention and pathological check up.The etiologic,diagnostic and the apeutic methods were discussed also in this article. The results indicated that GEG was caused by allegenic reaction in gastric membrance base on chronic gastritis and (or) gastric ulcer. The differences observed by macroscope in each case were due to the degree of its allogenic reaction,and in many cases could resulted in mistaken diagncasis for stomuch cancer of gastric ulcer. The authors suggested that endoscope excavation biopsy and multitype pathologic examination before and after surgical operation have important value for cancer exclution. The corticosteriod therapy had many disadventages for GEG. And surgical cut off can prevent GEG from perfortion. bleeding and oncogenisis.