本文收集整理了我院1974年9月至1986年4月食管平滑肌瘤外科治疗27例。占本院食管肿瘤的1.3％。本文对该病发病情况,临床表现,诊断治疗进行分析讨论。本病症状轻微,主要为下咽不畅。X线食管钡餐是主要诊断方法,内窥镜检查可提高诊断准确率,个别病例与食管癌难以鉴别时,可行内窥镜下咬取活检或术中冰冻切片。行肿瘤摘除术,效果良好。 This article collected and processed 27 cases of surgical treatment of esophageal leiomyoma in our hospital from September 1974 to April 1986. It accounts for 1.3% of esophageal tumors in our hospital. This article analyzes the disease incidence, clinical manifestations, diagnosis and treatment. The symptoms of this disease are mild, mainly due to poor throat. X-ray esophageal barium meal is the main diagnostic method. Endoscopic examination can improve the diagnostic accuracy. When it is difficult to distinguish between individual cases and esophageal cancer, endoscopic biopsy or intraoperative frozen section may be performed. Excision of tumors performed well.