例1 男,31岁。10年前曾因进食不畅在外院两次X线检查诊断为“贲门痉挛”。近三个月进食梗噎感加重,伴胸骨后疼痛和反复呕吐,吐出物内带血。查体及实验室检查未见明显异常。X线检查,食管中段有一约3.0×6.0cm的不规则充盈缺损,粘膜破坏,管腔明显狭窄。食管下端变尖呈萝卜根状,其上方食管扩张,蠕动消失,钡剂通过受阻(图1)。胃泡消失。X线诊断为贲门失驰缓症合并食管中段癌或肉瘤。 Example 1 male, 31 years old. 10 years ago due to poor eating twice in the hospital X-ray diagnosis of “cardiac spasm.” Nearly three months to eat aggravating aggravating symptoms, with chest pain and repeated vomiting, spit blood in the matter. Physical examination and laboratory examination showed no obvious abnormalities. X-ray examination, the middle of the esophagus there is about 3.0 × 6.0cm irregular filling defects, mucosal damage, obvious stenosis. The lower end of the esophagus was radish rooted, the upper esophageal dilatation, peristalsis disappeared, barium passed blocked (Figure 1). Gavage disappears. X-ray diagnosis of cardia with chronic relief of esophageal cancer or sarcoma.