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本文报告1975～1981年间经手术治疗及病理证实的食管平滑肌瘤12例。男、女各8例。年龄19～53岁,中位40岁。病程2月余～10年,症状有不同程度的吞咽困难8例,胸骨后疼痛或后背痛5例,上腹不适2例,并有嗳气,打呃,消瘦。钡餐;1.钡剂在肿瘤旁有偏流及分流。2.食管壁柔软。3.有边缘光滑的偏心性充盈缺损。4.病变区粘膜皱襞消失。5.瘤上下缘与食管壁夹角为锐角。术前经X线及食管镜诊断为食管
This article reports 12 cases of esophageal leiomyoma that were confirmed by surgery and pathology from 1975 to 1981. 8 males and 8 females. Age 19 to 53 years, median 40 years old. During the 2 to 10 years of illness, there were 8 cases of dysphagia, 5 cases of post-sternal pain or back pain, 2 cases of epigastric discomfort, and hernia, snoring, and weight loss. Barium meal; 1. Liniment biased flow and shunt in the tumor. 2. The esophagus wall is soft. 3. There is a smooth edge of the eccentric filling defect. 4. The mucosal folds in the lesion disappeared. 5. The angle between the upper and lower edges of the tumor and the wall of the esophagus is acute. Preoperative diagnosis of esophagus by X-ray and esophagoscopy