目的探讨巨大结肠脂肪瘤的临床诊断与手术治疗效果。方法以我院近期诊治的1例及既往文献报道的8例巨大结肠脂肪瘤患者作为研究对象,分别回顾性分析病例的影像学与实验室病理检查结果,总结临床治疗方法与效果,进而判断巨大结肠脂肪瘤的临床诊疗措施。结果 9例患者中7例在术前检查中均诊断为结肠脂肪瘤,2例患者在手术病理实验后获得明确诊断。所有病例均获手术成功,术后随访复查中腹部超声与立体腹部X线片均未见异常,同时未发生切口感染、肿块残余等不良事件,均获得良好的治愈效果。结论巨大结肠脂肪瘤相对少见,影像学检查有助于诊断和鉴别诊断,最终依赖术后病理确诊,治疗以手术切除为主,预后好。 Objective To investigate the clinical diagnosis and surgical treatment of huge colon lipoma. Methods A case of recent diagnosis and treatment of our hospital and 8 cases of colorectal lipoma reported in previous literature as the object of study were retrospectively analyzed the imaging and laboratory pathological examination results of the case, summarizes the clinical treatment methods and effects, and then determine the huge Clinical diagnosis and treatment of colonic lipoma. Results Of the 9 patients, 7 were diagnosed as colo-lipoma during the preoperative examination and 2 patients were diagnosed clinically and pathologically. All the cases were operated successfully. Postoperative follow-up examination revealed no abnormalities in abdominal ultrasonography and three-dimensional abdominal X-ray. At the same time, no adverse events such as incision infection and mass remnant were obtained, and good curative effects were obtained. Conclusions The huge colon lipoma is relatively rare. The imaging examination is helpful for the diagnosis and differential diagnosis. It ultimately depends on the pathological diagnosis after operation. The treatment is mainly based on the surgical excision and the prognosis is good.