食管和贲门部良性溃疡较少见,不易与 Barrett 食管和贲门的癌性溃疡鉴别。近几年我院遇到5例食管贲门良性溃疡,均外科治愈,现将其诊治结果报道如下。1 临床资料5例中男3例,女2例,年龄45-65岁,平均52.6岁,病程20-120 d,平均82 d。症状均有吞咽困难,但无明显进行性加重,伴上腹痛和胸背痛者各1例,体检无阳性发现。上消化道钡餐造影示3例食管下段管腔轻度狭窄,局部粘膜中断破坏,龛影大小分别为0.4 cm×0.3 cm,1.5 cm×1.2 cm 和2.0 cm×2.0 cm;1例贲门下方小弯侧粘膜破坏,胃壁略显僵硬,可见2 cm×2.2 cm 龛影;另1例贲门处可见小充盈缺损,粘膜皱襞中断。5例病变处均无软组织块影。3例食管病变者,其中1 Esophageal and cardiac benign ulcers are rare, not easy to identify with Barrett’s esophagus and cardia cancer ulcer. In recent years, our hospital encountered 5 cases of esophageal benign ulcer, were cured surgically, now the diagnosis and treatment results are reported below. 1 Clinical data 5 males in 3 cases, 2 females, aged 45-65 years, mean 52.6 years, duration of 20-120 d, an average of 82 d. Symptoms were dysphagia, but no significant progressive increase, accompanied by abdominal pain and chest pain in 1 case, no positive findings. Upper gastrointestinal barium meal angiography showed 3 cases of mild esophageal lumen stenosis, mucosal interruption of local damage, niche size were 0.4 cm × 0.3 cm, 1.5 cm × 1.2 cm and 2.0 cm × 2.0 cm; 1 case of cardia below the small bend Side of the mucosa damage, the stomach wall was slightly stiff, visible 2 cm × 2.2 cm Kanying shadow; the other one cardia can be seen at a small filling defect mucosal folds interrupted. No lesions in 5 cases of soft tissue block shadow. 3 cases of esophageal disease, of which 1