食管良性肿瘤的诊断与外科治疗

Diagnosis and Surgical Treatment of Esophageal Benign Tumor

【目的】总结食管良性肿瘤的临床特点,探讨合理的外科治疗方法。【方法】回顾性分析经外科手术病理证实的51例食管良性肿瘤的临床资料。【结果】术前均无明确病理诊断,均予以手术切除,全组无手术死亡及严重手术并发症,术中7例黏膜破损,修补后均治愈,术后病理诊断为平滑肌瘤35例,囊肿8例,脂肪瘤4例,间质瘤4例。【结论】食管良性肿瘤临床上较少见,食管钡餐、纤维食管镜结合超声胃镜检查诊断多不困难,但因无明确病理诊断,容易误诊,不能忽视鉴别诊断。手术切除是主要治疗手段,手术指证及术式选择应根据不同患者的具体情况而定。

[Objective] To review the clinical characteristics and explore the surgical treatment of the esophageal benign tumor. [Methods] Clinical data of 51 patients undergoing surgical resection between January 1994 and October 2006 were analyzed retrospectively, [Results] There was no surgical death and severe complications. The esophageal mucosa in 7 patients was damaged during operation, which were cured by repair. After surgery, 35 leiomyoblastomas, 8 cysts and 4 stromal tumors were pathologically diagnosed. [Conclusion] Esophageal benign tumor is infrequency in clinic. It can be easily diagnosed by fluoroscopy, esophagoscopy and endoscopic ultrasonography. However the differential diagnosis can＇t be ignored. The most effective therapy for the disease is surgery, of which extra mucosal excision is the best.