本文报道１０６例病理证实的早期食管癌（ＥＥＣ），分析了ＥＥＣ双对比造影表现征象为：①环征、半环征；②平盘、棒状隆起；③结节泡沫状阴影；④偏侧局限性管壁凹陷增厚或缺口、双边征；⑤斑状及条状龛影。文中分析了ＥＥＣ分型Ｘ线表现，讨论了ＥＥＣ与进展癌、良性隆起性病变以及食管炎的鉴别诊断。强调在基层医院利用现有机器条件，积极开展双对比造影是食管癌早期诊断的关键。 This article reported 106 cases of pathologically confirmed early esophageal cancer (EEC), analysis of EEC double contrast imaging signs were: 1 ring sign, half ring sign; 2 flat disk, rod-like uplift; 3 nodular foam shadow; 4 lateral limitation Wall thickening or gaps, bilateral signs; 5 patchy and strip shadows. This article analyzed the X-ray findings of EEC classification and discussed the differential diagnosis of EEC and advanced cancer, benign prominence, and esophagitis. Emphasis on the use of existing machine conditions in primary hospitals, and actively carry out double contrast imaging is the key to the early diagnosis of esophageal cancer.