论文部分内容阅读
1 病例报告患者男,67岁。因进行性吞咽困难3个月于1999—05—17入院。查体:表浅淋巴结不大,腹部平软,无压痛和反跳痛,未触及包块,肝、脾不大。食管X线钡餐检查示食管下段扩张,内有充盈缺损。钡剂通过后显示6.5cm×3.0cm的肿物,边缘光滑,钡剂通过略受阻。纤维胃镜检查见食管距门齿35cm处肿物6.0cm×3.0cm,于右后壁有蒂,表面分叶状,糜烂。于同年—05—20经左后外侧切口进胸,见肿瘤位于食管中段,与周围无粘连,遂行食管肿瘤切除,以吻合器行食管胃弓上吻合。
1 case report patient male, 67 years old. Dysentery was admitted to the hospital on March 3, 1999 to December 17, due to progressive dysphagia. Examination: Superficial lymph nodes, abdominal soft, no tenderness and rebound tenderness, no palpable mass, liver, spleen is not. The esophageal X-ray barium examination showed a dilatation of the lower esophagus with a filling defect. After the tincture passes through, it shows a 6.5cm×3.0cm tumor with a smooth edge and the tincture is slightly blocked. Gastric endoscopy showed that the esophageal distance from the incisors was about 60 cm x 3.0 cm at the site of the tumor, and there was a peduncle on the right posterior wall. The surface was lobulated and eroded. In the same year - 05 - 20 through the left posterolateral incision into the chest, see the tumor located in the middle esophagus, no adhesion with the surrounding, esophageal tumor resection, anastomosis of the esophagogastric bow anastomosis.