本院新近发现大肠脂肪瘤2例,结合1949～1992年国内文献报道的22例综合分析,认为大肠脂肪瘤以慢性腹痛、粘液血便及腹泻为其主要临床表现,可并发肠套叠。发病年龄主要在50岁左右,男性发病率略高于女性;好发于右半结肠,多属腔内型。诊断手段主要是钡灌肠及纤维结肠镜。治疗以手术为主,也可采用经纤维结肠镜电切术,但有引起肠穿孔的可能。 Recently, 2 cases of large intestine lipoma were found in this hospital. Combined with the 22 cases reported in domestic literature from 1949 to 1992, it was considered that chronic abdominal pain, mucoblast, and diarrhea are the main clinical manifestations of large intestine lipoma, and intussusception can be complicated. The age of onset is mainly about 50 years old. The incidence rate of males is slightly higher than that of females. It occurs in the right colon and most of them are intraluminal. Diagnosis is mainly barium enema and colonoscopy. The main treatment is surgery, but it can also be treated by transsphenoidal resection of the colon, but it may cause intestinal perforation.