结肠脂肪瘤11例临床分析

目的：提高结肠脂肪瘤的诊断和治疗水平。方法：回顾分析复旦大学附属中山医院普外科1993—2005年收治的11例结肠脂肪瘤患者临床资料。结果：11例结肠脂肪瘤患者的临床症状主要有腹痛、便血和大便习惯改变。肿瘤位于横结肠5例（45.5%）,盲升结肠4例（36.4%）,乙状结肠2例（18.2%）,均为单发。肿瘤最大直径2.5~6cm,平均4.1±1.3cm。10例（90.9%）患者手术前行纤维肠镜检查发现结肠肿块,活检病理结果均为阴性。所有患者均按结肠癌接受了相应的手术治疗。结论：结肠脂肪瘤诊断较为困难,CT是诊断结肠脂肪瘤正确率较高的检查手段。治疗以手术为主,仅需行局部肠段切除。

Clinical Analysis of Patients with Colonic Lipoma

Objective：To improve the diagnosis and treatment level for colonic lipoma.Methods： Retrospective analysis of 11 cases of colonic lipoma admitted by Zhangshan Hospital of Fudan University during 1993 to 2005.Results：The clinical symptoms of the 11 cases of colonic lipoma mainly includes abdominal pain,hematochezia and change of stool excretion habits.It was reported that among all these tumors,5 cases（45.5%） located in transverse colon,4 cases（36.4%） located in caecum and ascending colon and 2 cases（18.2%） located in descending and sigmoid colon.All of the 11 cases were single with mean tumor diameter 4.1±1.3cm and the max diameter 2.5—6 cm.Ten patients（90.9%） were found lipoma tumors in preoperative endoscopy and their biopsy were negative.All the patients received appropriate colorectal cancer operations.Conclusions： Diagnosis of colonic lipoma is remarkably difficult in clinical practice.Computer tomography（CT） is an effective diagnosis method for colonic lipomar.Based on sugery,treatment of colonic lipomar mainly focuses on partly colectomy.