为研究可以发生癌的Barrett柱状上皮食管的病例,作者对48例活检证实的病例进行评价:27例为良性;21例为发自柱状上皮的腺癌,两组的平均年龄相同。恶性肿瘤组少有严重的灼心、反流症状,但由于缩窄多有较明显的吞咽困难。性别分布:恶性组男性占优势(20/21例),与良性组(19/27例)对比,P<0.05。两组的裂孔疝的发生率相同,但两组 To investigate the case of Barrett’s columnar epithelial esophagus that can develop cancer, the authors evaluated 48 biopsy-proven cases: 27 were benign; 21 were adenocarcinomas from the columnar epithelium, and the mean age was the same in both groups. In the malignant tumor group, there were few serious signs of heartburn and reflux, but due to narrowing, there were more obvious difficulties in swallowing. Sex distribution: Males in the malignant group were dominant (20/21 cases), compared with the benign group (19/27 cases), P<0.05. The incidence of hiatal hernia was the same in both groups, but the two groups