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目的提高结肠脂肪瘤的术前诊断率和疗效。方法结合有关文献,对1971～2002年我院收治的10例结肠脂肪瘤诊治过程进行回顾性分析。结果本组10例患者,术前确诊率为60%。9例行结肠节段切除或半侧结肠切除术,1例行电子结肠镜电灼切除肿瘤,疗效满意,均痊愈出院,治愈率为100%。结论钡剂灌肠、电子结肠镜、腹部CT、MRI等均为结肠脂肪瘤诊断的重要手段,其中CT对确诊的意义较大。对于有症状者应行手术治疗,主要行结肠节段切除术或电子结肠镜电灼切除术。
Objective To improve the preoperative diagnosis of colonic lipoma and efficacy. Methods Combined with the relevant literature, we retrospectively analyzed the diagnosis and treatment of 10 cases of colonic lipoma treated in our hospital from 1971 to 2002. Results The group of 10 patients, the preoperative diagnosis rate was 60%. 9 cases of segmentectomy or hemi-colon resection, 1 case of electronic colonoscopic electrocautery resection of the tumor, the effect is satisfactory, were cured and discharged, the cure rate was 100%. Conclusions Barium enema, electronic colonoscopy, abdominal CT, MRI and so on are both important methods for the diagnosis of colonic lipoma, of which CT is of great significance for the diagnosis. For symptomatic patients should be treated surgically, the main line of segmentectomy or colonoscopic electrocautery resection.