目的 探讨胃嗜酸性肉芽肿的诊断、误诊原因和治疗方法。
方法 对14例胃嗜酸性肉芽肿的临床资料进行回顾性分析。
结果 全部病例均有上腹疼痛和返酸史; 伴溃疡形成11例,穿孔4例,上消化道出血3例; 术前行胃镜检查2例,X线钡餐透视检查6例,无1例获确诊; 其余病例亦全部误诊为胃溃疡或癌肿。
结论 胃镜多部位取材,特别是在溃疡与周边粘膜移行处,采取挖掘式取材,能减少误诊率; 胃大部切除术是主要的治疗方法。
Citation:
崔佳森,伦增军,曹厚军. 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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- 1. 王金生, 武健, 储高峰. 胃嗜酸性肉芽肿12例报告〔J〕. 中华外科杂志, 1995; 33(12)∶770.
- 2. 戴宗晴, 贾国风, 王子强. 胃嗜酸性肉芽肿19例报告〔J〕. 实用外科杂志, 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.