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食道下段的食糜滞留是一种常见病,但长期滞留现象十分少见,我院自1981年2月至96年4月止,在11087例受检者中仅遇4例,临床上均误诊,现报告如下: 1 一般资料与诊治结果 例1 女性,56岁。反复性出现吞咽困难,持续性胸前区不适,呈烧灼感。於1992年4月钡餐透视:食道下段扩张受限,钡剂通过明显减慢,诊断:食管癌。胃镜检查所见:食管下段35cm处,有一2×1.5cm大小椭圆形隆起物,表面光滑,呈褐色。镜前阻力加大,周围粘膜苍白及充血。活检病理切片:植物纤维细菌团。再行镜检,镜下使用活检钳剥离,整体脱落。滞留时间长达47天。 例2 女性,67岁。三天来不能进食,并胸前区胀痛,X线诊断:食道癌。镜检所见:食道中下段约35cm处,管
The lower esophageal mucosal retention is a common disease, but the phenomenon of long-term retention is very rare, our hospital from February 1981 to April 96 only in 11087 subjects in only 4 cases, clinically misdiagnosed, The report is as follows: 1 General information and diagnosis and treatment results Example 1 Female, 56 years old. Repeated dysphagia, persistent chest area discomfort, was burning sensation. In April 1992 barium meal perspective: limited expansion of the lower esophagus, barium significantly slowed down, the diagnosis: esophageal cancer. Gastroscopy found: 35cm at the lower esophagus, a 2 × 1.5cm size oval bulge, the surface is smooth, brown. Resistance increased before the mirror, the surrounding mucosal pale and congestion. Biopsy pathology: plant fiber bacterial mass. Followed by microscopic examination, biopsy forceps removed under microscope, the overall loss. Residence time up to 47 days. Example 2 Female, 67 years old. Three days can not eat, chest pain and chest area, X-ray diagnosis: esophageal cancer. Microscopic findings: lower esophagus about 35cm at the tube