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1 临床资料 患者,女性,64岁,进行性吞咽困难3年,外院胃镜诊为“食管癌”后未经治疗,入院时仅能进流食。上消化道X线钡餐检查:吞钡后于胸锁关节水平受阻,停留一段时间仅可通过细股钡剂,并呈分流状,受阻下部可见一约11×6cm椭圆形块状影,该影下段食道粘膜不规则。纤维胃镜检查:距门齿18cm处有一巨大肿物自前壁突入食管腔内,表面不光滑、糜烂、易出血、质硬。在全麻下行剖胸探查,见肿瘤位于食管上段粘膜下,与周围组织及食管粘连甚紧,故经右胸行食管大部分切除、食管胃右颈部吻合术。
1 Clinical data Patients, female, 64 years old, progressive dysphagia for 3 years, outside the hospital gastroscopy diagnosis of “esophageal cancer” untreated, admitted to the flow of food only. Upper gastrointestinal barium meal X-ray examination: Barium swallowed after the level of the thoracic joint blocked, stay for some time only through the fine barium and shunt, obstruction visible in the lower part of an approximately 11 × 6cm oval massive shadow, the shadow Lower esophageal mucosa irregular. Fiber gastroscopy: 18cm away from incisors have a huge tumor from the anterior wall into the esophageal cavity, the surface is not smooth, erosion, bleeding, hard. Thoracotomy under general anesthesia exploration, see the tumor in the upper esophagus mucosa, and the surrounding tissue and esophageal adhesions very tight, so the right chest line esophageal resection of most, esophageal right anastomosis.