目的 探討胃嗜酸性肉芽腫的診斷、誤診原因和治療方法。
方法 對14例胃嗜酸性肉芽腫的臨床資料進行回顧性分析。
結果 全部病例均有上腹疼痛和返酸史; 伴潰瘍形成11例,穿孔4例,上消化道出血3例; 術前行胃鏡檢查2例,X線鋇餐透視檢查6例,無1例獲確診; 其余病例亦全部誤診為胃潰瘍或癌腫。
結論 胃鏡多部位取材,特別是在潰瘍與周邊粘膜移行處,采取挖掘式取材,能減少誤診率; 胃大部切除術是主要的治療方法。
Citation:
崔佳森,倫增軍,曹厚軍. CLINICAL FEATURES AND THE CAUSES OF MISDIAGNOSIS OF GASTRIC EOSINOPHILIC GRANULOMA (A REPORT OF 14 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(1): 56-56. doi:
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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. 王金生, 武健, 儲高峰. 胃嗜酸性肉芽腫12例報告〔J〕. 中華外科雜志, 1995; 33(12)∶770.
- 2. 戴宗晴, 賈國風, 王子強. 胃嗜酸性肉芽腫19例報告〔J〕. 實用外科雜志, 1986; 6(7)∶247.
- 3. Rangabashyam N, Moban C, Thiyunarukarasu VS, et al. Eosinophilic granuloma of the stomach case report〔J〕. Am J Gastrointerol, 1977; 68(2)∶290.
- 4. Brooks AP, Paulley JW. Eosinophilic gastroenteritis; an unusual cause of vomiting〔J〕. Pract, 1982; 226(12)∶1803.