曾被认为是罕见的回肠末端淋巴滤泡增殖症,近几年有少数病例报道。1985年元月至1990年12月,我院共接受结肠镜检查3669例,随机进入回肠末端753例,占受检病人的20.6%。在753例受检者中发现回肠末端淋巴滤泡增殖症57例,占7.6%。全部经病理证实。临床资料57例患者中,男49、女8例。年龄18～64岁。18～40年龄组49例,占80.6%。临床症状均有下腹疼痛伴腹泻。内镜示回肠末端肠粘膜呈颗粒状,小结节状、广泛、密集分布。大小如绿豆或粟米,少数病例有充血、糜烂及出血,无肠腔狭窄,57例中伴有结肠炎者6例,直肠息肉2例,便血3例,鞭虫感染2例。光学显微镜下显示:1.小肠绒毛水肿;2.小 Have been considered to be rare ileal follicular hyperplasia, a few cases have been reported in recent years. January 1985 to December 1990, our hospital received a total of 3669 cases of colonoscopy, random access to the terminal ileum 753 cases, accounting for 20.6% of patients under examination. In 753 subjects were found in the terminal ileal follicular hyperplasia in 57 cases, accounting for 7.6%. All confirmed by pathology. Clinical data 57 patients, 49 males and 8 females. Age 18 ~ 64 years old. 49 cases of 18 ~ 40 age group, accounting for 80.6%. Clinical symptoms have abdominal pain with diarrhea. Endoscopic ileal end of the intestinal mucosa was granular, nodular, extensive, densely distributed. Small size, such as mung bean or corn, a small number of cases of congestion, erosion and bleeding, no intestinal stricture, 57 cases with colitis in 6 cases, 2 cases of rectal polyps, 3 cases of blood in the stool, whipworm infection in 2 cases. Light microscope shows: 1. Edema of small intestine; 2. Small