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目的进一步探讨结肠嗜酸性肉芽肿的诊断和治疗。方法对11例结肠嗜酸性肉芽肿的临床资料进行回顾性分析。结果钡灌肠检查7例,均未获确诊,误诊为结肠癌4例,肠结核2例,节段性肠炎1例。纤维结肠镜结合病理检查10例,确诊嗜酸性肉芽肿5例,诊断为结肠肿块5例。术中快速活检6例,均确诊为嗜酸性肉芽肿。手术行病变肠段切除6例,右半结肠切除3例,横结肠切除1例,乙状结肠切除1例。9例随访0.5～13年,无复发病例。结论纤维肠镜和术中快速病检是结肠嗜酸性肉芽肿的主要确诊方法,病变肠段切除是主要的治疗方法。
Objective To further explore the diagnosis and treatment of colon eosinophilic granuloma. Methods 11 cases of colon eosinophilic granuloma clinical data were retrospectively analyzed. Results Barium enema examination in 7 cases, have not been diagnosed, misdiagnosed as colon cancer in 4 cases, 2 cases of intestinal tuberculosis, 1 case of enteritis. Fiber colonoscopy combined with pathological examination in 10 cases, diagnosed with eosinophilic granuloma in 5 cases, diagnosed as colon mass in 5 cases. Intraoperative rapid biopsy in 6 cases were diagnosed as eosinophilic granuloma. Surgery line lesions in 6 cases of intestinal resection, right colon resection in 3 cases, transverse colon resection in 1 case, sigmoid resection in 1 case. 9 cases were followed up for 0.5 to 13 years without recurrence. Conclusions Fiber colonoscopy and intraoperative rapid pathological examination are the main methods for the diagnosis of colon eosinophilic granuloma. Removal of the diseased bowel segment is the main treatment.