目的　通过对 5例结肠脂肪瘤的诊断与治疗作回顾性分析 ,总结出结肠脂肪瘤的临床特点及治疗方法。方法　收集经我院诊治的 5例结肠脂肪瘤患者的资料 ,对其诊断及治疗作分析总结。结果　结肠脂肪瘤主要表现为腹痛、腹部肿块、粘液血便及并发肠梗阻为多见。可通过纤维结肠镜、钡灌肠、CT等辅助检查加以诊断。治疗以手术为主。结论　结肠脂肪瘤无特殊临床表现 ,诊断困难 ,术前确诊率低 ,误诊率高。 Objective To retrospectively analyze the diagnosis and treatment of 5 cases of colonic lipoma, and summarize the clinical features and treatment methods of colon lipoma. Methods The data of 5 cases of colon lipoma diagnosed and treated by our hospital were collected, and the diagnosis and treatment were analyzed and summarized. Results The main manifestations of colonic lipomas were abdominal pain, abdominal masses, mucous bloody stools and complicated intestinal obstruction. Can be diagnosed by fiber colonoscopy, barium enema, CT and other auxiliary examinations. Treatment is based on surgery. Conclusion There is no special clinical manifestations of colonic lipoma, it is difficult to diagnose, the preoperative diagnosis rate is low, and the rate of misdiagnosis is high.