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目的 探讨食管平滑肌瘤的诊断和外科治疗。方法 对 17例食管平滑肌瘤病例及同期相关病例的诊治进行回顾性总结。结果 17例中有 15例术前明确诊断 ,2例误诊其他疾病 ,同期其他疾病误诊该病 2例。对食管平滑肌瘤行粘膜外肿瘤摘除 ,术后病员症状消失 ,无严重并发症。结论 食管平滑肌瘤的诊断除病史外主要靠 X线钡餐和食管内窥镜检查 ,应注意排除食管恶性肿瘤及一些食管外压性疾病。粘膜外肿瘤摘除加修补肌层是安全、有效的手术方式 ,仅极少数病例需行食管部份切除及食管重建术
Objective To investigate the diagnosis and surgical treatment of esophageal leiomyoma. Methods The diagnosis and treatment of 17 cases of esophageal leiomyoma and related cases were retrospectively reviewed. Results Of 17 cases, 15 cases were diagnosed preoperatively, 2 cases misdiagnosed other diseases and 2 cases were misdiagnosed as other diseases during the same period. Esophageal leiomyoma line mucosal tumor removal, postoperative patient symptoms disappeared, no serious complications. Conclusion The diagnosis of esophageal leiomyoma is mainly based on X-ray barium meal and esophagoscopy, except esophageal cancer, esophageal malignancies and some extra-esophageal pressure diseases should be excluded. Removal of mucosal tumor plus repair muscle is a safe and effective surgical approach, only a very small number of cases required esophagectomy and esophagectomy