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本文收集了国内近30年来文献报告的食管平滑肌瘤114例,连同本院10例共124例,进行了临床分析。男多于女,男女之比为2.9:1。约80％小于40岁。间歇性吞咽困难占56％,胸骨后疼痛占38％,上腹疼、胃灼热占21.8％。肿瘤以中段居多(60.7％)。单发117例,多发7例。本文分析了肿瘤的生长方式,描述了X线钡餐和内镜检查时的诊断要点和注意事项。粘膜外肿瘤摘除加肌层修补术是目前简便、安全、创伤小的理想术式。
This article collected 114 cases of esophageal leiomyoma in the literature reported in the past 30 years in China, together with 124 cases in 10 cases in our hospital. Males are more than women, and the ratio between men and women is 2.9:1. About 80% is less than 40 years old. Intermittent dysphagia accounted for 56%, poststernal pain 38%, and epigastric pain and heartburn accounted for 21.8%. Tumors were mostly mid-range (60.7%). There were only 117 cases and multiple cases in 7 cases. This article analyzed the growth of the tumor and described the diagnostic points and precautions for X-ray barium meal and endoscopy. Extramural tumor removal plus muscle repair is currently an ideal procedure that is simple, safe, and minimally invasive.