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我院自1974年~1988年间遇到11例食管、贲门良性疾患,临床表现多为吞咽困难,X线显示食管、贲门狭窄,均误诊为食管、贲门癌而进行了手术。本文就此进行分析,以减少误诊,提高诊断和治疗水平。临床资料本组11例中,男性4例,女性7例,年龄43岁~75岁,其中43岁~49岁者2例,50岁~59岁者6例,60岁以上者3例。有吞咽困难症状者9例,其中能进流汁2例,半流汁4例,普食2例,1例与进软硬食物无关;胸骨后疼痛伴烧灼感5例;上腹胀痛3例;食管异物感、返酸、乏力、消瘦各2例;食欲减退、上腹阵发性刀割样疼痛各1例。病程:3个月~3年,其中半年以内者3例,半年至1年者4例,1年以上者4例。食管钡餐检查
In our hospital from 1974 to 1988, we encountered eleven cases of benign disorders of the esophagus and cardias. The clinical manifestations were mostly dysphagia. X-rays showed that the esophagus and cardiac stenosis were stenosis. All of them were misdiagnosed as esophageal and cardiac cancers. This article analyzes this to reduce misdiagnosis and improve diagnosis and treatment. Clinical data In this group of 11 patients, there were 4 males and 7 females, aged 43 to 75 years old, of whom 43 to 49 years old were 2 cases, 50 to 59 years old were 6 cases, and 60 were above 3 years old. There were 9 patients with dysphagia, including 2 influent juices, 4 semi-fluid juices, 2 common foods, 1 unrelated to soft and hard food, 5 cases of poststernal pain with burning sensation, and 3 epigastric pain 3 Cases; esophageal foreign body sensation, acid reflux, fatigue, weight loss in 2 cases; loss of appetite, epigastric paroxysmal knife-like pain in 1 case. Duration: 3 months to 3 years, including 3 cases within half year, 4 cases from 1⁄2 year to 1 year, and 4 cases from 1 year or longer. Esophageal barium meal inspection