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为了提高胃嗜酸性肉芽肿诊断与治疗水平 ,该文对 1976年 1月～ 1998年 4月收治的 41例胃嗜酸性肉芽肿的临床、内镜及病理学特征进行分析。结果 :男性发病率高 ,40岁以下者占 6 2 .3%。患者病史较长 ,无消瘦 ,除合并上消化道出血患者外 ,亦无贫血。临床表现无特异性 ,并发溃疡率高 (92 .6 8% ) ,其中 15例作X线钡餐检查 ,误诊为胃癌 8例 ,胃溃疡 7例。 41例均作内镜检查 ,经胃镜确诊者仅 16例 (39.0 2 % )。该疾病术前误诊率高 ,但只要仔细综合分析患者的临床与内镜下溃疡形态学特点 ,同时对可疑病变多处取材 ,行挖掘式活检 ,并作病理检查 ,就能提高术前诊断的准确率。在治疗上 ,手术切除为首选疗法
In order to improve the diagnosis and treatment of gastric eosinophilic granuloma, the clinical, endoscopic and pathological features of 41 cases of gastric eosinophilic granuloma admitted from January 1976 to April 1998 were analyzed. Results: The incidence of males was high, accounting for 62.3% of those under 40 years of age. Patients with a longer history, no weight loss, in addition to patients with upper gastrointestinal bleeding, there is no anemia. Clinical manifestations of non-specific, high incidence of concurrent ulceration (92.68%), of which 15 cases for X-ray barium meal misdiagnosed as gastric cancer in 8 cases, gastric ulcer in 7 cases. All the 41 cases were examined by endoscopy. Only 16 cases were diagnosed by gastroscope (39.0%). The preoperative misdiagnosis rate of the disease, but as long as careful and comprehensive analysis of patients with clinical and endoscopic characteristics of ulcer morphology, while the suspicious lesions taken from multiple, line excavation biopsy and pathological examination, can improve the preoperative diagnosis Accuracy. In the treatment, surgical excision is the preferred therapy