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我科自1965年～1988年,手术治疗并病理证实食管平滑肌瘤共22例。现报告如下:临床资料本组病例22例。男性17例,女性5例。年龄21～60岁,其中21岁～45岁19例。病程从数天～10余年不等。症状以吞咽不畅,吞咽疼痛及上腹部饱胀不适为主。手术所见:瘤体以圆柱形为多,18例。球形1例,分叶状1例,哑铃形1例,环绕食管呈伞形1例。肿瘤长度2～6cm20例,10cm 以上2例。术前诊断食管平滑肌瘤16例;贲门癌、食管癌各1例;贲门痉挛1例;纵隔肿瘤2例;食管多发性息肉1例。合并食管癌2例;返流性食管炎1例;
In our department from 1965 to 1988, surgical treatment and pathology confirmed a total of 22 cases of esophageal leiomyoma. The report is as follows: Clinical data 22 cases in this group. There were 17 males and 5 females. The age ranged from 21 to 60 years, of which 19 cases were 21 to 45 years old. The course of the disease ranges from several days to more than 10 years. Symptoms are poor swallowing, painful swallowing, and full abdominal discomfort. Seen from the surgery: The tumor was more cylindrical, with 18 cases. 1 case was spherical, 1 case was lobulated, 1 case was dumbbell, and 1 case was umbrella shaped around the esophagus. The tumor length was 2 to 6 cm in 20 cases and 10 cm in 2 cases. Preoperative diagnosis of esophageal leiomyoma was performed in 16 cases, cardiac and esophageal carcinoma in 1 case, cardia fistula in 1 case, mediastinal tumor in 2 cases, and esophageal polyposis in 1 case. There were 2 cases of esophageal cancer and 1 case of reflux esophagitis.