胃嗜酸性肉芽肿26例报告

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。

Gastric eosinophilic granuloma: a report of 26 cases

Objective To explore the diagnosis and treatment of gastric eosinophilic granuloma. Methods The clinical data of 26 cases of gastric eosinophilic granuloma were analyzed retrospectively. Results After barium meal in 19 cases, 11 cases were diagnosed as gastric ulcer and 8 cases gastric carcinoma. Gastroscopy was done in 14 cases, among whom 8 cases were diagnosed as gastric ulcer, 4 cases gastric carcinoma and 2 cases gastric eosinophilic granuloma. Peripheral eosinophilia were presented in 10 cases. Eleven cases with gastric eosinophilic granuloma were diagnosed by frozen biopsy. Sixteen cases were treated by subtotal gastrectomy, while 10 cases radical subtotal gastrectomy. Twenty three cases were followed up from 0.5 year to 18 years, no relapse was noted after operation. Conclusions Gastroscopy and frozen biopsy are main methods for diagnosis. Subtotal gastrectomy is the treatment of choice.