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患者,男,57岁。因合咽不适、吞咽困难一年于1990年8月22日入院。患者无咽痛,不发烧;舌咽困难呈间断性,非进行性加重;无体重下降。查体无异常发现。食管钡剂造影X线检查示上段食管扩张,可见薄层钡剂附着,呈颗粒状阴影,无龛影及粘膜破坏。食管镜检查:距门齿18~26cm处食管管腔扩张,其左后壁有多个圆形肿物向腔内隆起,隆起处粘膜光滑平展,皱襞消失。临床以多发性食管平滑肌瘤在全麻下开左胸探查,
Patient, male, 57 years old. He was admitted to the hospital on August 22, 1990 due to dysphagia and dysphagia. The patient had no sore throat and no fever; dysphagia was intermittent and non-progressive; no weight loss. No abnormal findings were found. Esophageal barium contrast radiography X-ray examination showed that the upper esophagus was dilated, thin layer tinctures were attached, with granular shadows, no shadows and mucosal damage. Esophagoscopy: The esophageal lumen was expanded from 18 to 26 cm in the incisors, with multiple round tumors in the left posterior wall bulging inwards. The mucosa was smooth and flat at the bulge, and the folds disappeared. Clinically, multiple esophageal leiomyomas underwent left chest exploration under general anesthesia.