论文部分内容阅读
目的 进一步探讨胃嗜酸性肉芽肿的诊断与治疗。方法 对 2 6例胃嗜酸性肉芽肿的临床资料进行回顾性分析。结果 钡餐检查 19例 ,诊断胃溃疡 11例 ,胃癌 8例。胃镜检查 14例 ,诊断胃溃疡 8例 ,胃癌 4例 ,胃嗜酸性肉芽肿 2例。外周血中嗜酸粒细胞增多 10例。术中快速病理检查确诊 11例。行胃大部切除术 16例 ,胃癌根治术 10例。 2 3例随访 0 5～ 18年 ,无复发病例。结论 胃镜活检及术中快速病理检查可确诊嗜酸性肉芽肿 ,胃大部切除术是其主要的治疗方法。
Objective To investigate the diagnosis and treatment of gastric eosinophilic granuloma. Methods The clinical data of 26 cases of gastric eosinophilic granuloma were retrospectively analyzed. Results 19 cases of barium meal examination, diagnosis of gastric ulcer in 11 cases, 8 cases of gastric cancer. Gastroscopy in 14 cases, 8 cases of gastric ulcer diagnosis, gastric cancer in 4 cases, gastric eosinophilic granuloma in 2 cases. Peripheral blood eosinophilia in 10 cases. Rapid pathological examination confirmed 11 cases. Line gastrectomy in 16 cases, radical gastrectomy in 10 cases. Twenty-three cases were followed up for 5 ~ 18 years without recurrence. Conclusion Gastroscopy biopsy and intraoperative rapid pathological examination can confirm eosinophilic granuloma, subtotal gastrectomy is its main treatment.