气管隆突部淋巴结炎性肉芽肿性病变当压迫食管时,易误诊为食管平滑肌瘤。本文复习4例X线片,发现其X线表现尚有一定特点,如该处发生的炎性肉茅肿性病变,由于解剖部位的决定致使钡剂向左后偏流,病灶最大基底位于食管腔外,病变与食管壁形成的上、下夹角应为钝角,透视下食管前壁扩张受限。本文强调对该病变检查手段的重要性,重点突出食管钡餐多轴位检查及正位点片和服钡断层的价值,密切结合临床病史以免做出错误诊断。 Tracheal prominence lymphadenitis granulomatous lesions When oppressing the esophagus, it is often misdiagnosed as esophageal leiomyoma. This article reviewed 4 cases of X-ray films and found that there are still some characteristics of its X-ray findings, such as the occurrence of inflammatory meaty swollen lesions, due to the anatomical site of the decision caused by tincture left to the left, the largest base of the lesion is located in the esophagus Outside the cavity, the upper and lower angles formed between the lesion and the esophageal wall should be obtuse, and the expansion of the anterior wall of the esophagus should be limited under fluoroscopy. This article emphasizes the importance of the means of examination of the lesions, highlights the value of multi-axial examinations of esophageal barium meal and the value of the positive site-slices and obstetric fistulas, and closely integrates with clinical history to avoid erroneous diagnosis.