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目的探讨回盲部病变的性质及其与临床的关系。方法观察238例回盲部病变的内镜表现特点,对活检标本行苏木素-伊红(HE)染色,光镜下观察。结果内镜表现为单个或多个息肉样隆起,病理检查示慢性炎症79例,炎性息肉21例,增生性息肉4例,腺瘤性息肉16例,伴有不同程度不典型增生14例,腺瘤样息肉恶变9例,回盲部癌59例,淋巴瘤9例,肠结核16例,溃疡性结肠炎6例,克罗恩病6例,脂肪瘤2例,平滑肌瘤1例。结论回盲部病变最常见为慢性炎症,其次为癌。
Objective To investigate the characteristics of ileocecal lesions and their clinical significance. Methods The endoscopic features of 238 cases of ileocecal lesions were observed. The biopsy specimens were stained with hematoxylin and eosin (HE) and observed under light microscope. Results The endoscopic findings were single or multiple polypoid hyperplasia. Pathological examination revealed 79 cases of chronic inflammation, 21 cases of inflammatory polyps, 4 cases of hyperplastic polyps, 16 cases of adenomatous polyps, 14 cases of atypical hyperplasia with varying degrees, Adenomatous polyps in 9 cases, ileocecal carcinoma in 59 cases, lymphoma in 9 cases, intestinal tuberculosis in 16 cases, ulcerative colitis in 6 cases, Crohn’s disease in 6 cases, lipoma in 2 cases and leiomyoma in 1 case. Conclusion The ileocecal lesions are the most common chronic inflammation, followed by cancer.