食管巨大纤维血管性息肉3例及文献复习

3 Cases of Giant Fibrovascular Polyp of the Esophagus and Literature Review

目的:探讨食管纤维血管性息肉的临床表现、病理特征、诊断方法及治疗手段。方法:报告3例食管纤维血管性息肉患者的临床资料,并复习相关文献。结果:食管纤维血管性息肉临床上缺乏特征性表现,诊断需综合应用上消化道造影、CT、胃镜及超声胃镜等检查,手术治疗是推荐的治疗方法,术前明确根蒂部位置极为重要。结论:食管纤维血管性息肉临床上少见且易漏诊、误诊,但可引起窒息、猝死等严重并发症,应加强对本病的认识。

Objective：To discuss the clinical performance, histopathologic features, diagnosis and therapy of giant fibrovascular polyps of the esophagus. Methods： We report 3 cases of giant fibrovascular polyps of the esophagus and articles were also reviewed. Results： Clinically, giant fibrovaseular polyps of the esophagusthese present with nonspecific symptoms. Diagnosis should be made by a combination of clinical findings, radiographic imaging and endoscopic examinations. Surgical removal was warranted in most patients and it was important to locate the stalk preoperatively. Conelusion： Giant fibrovascular polyps of the esophagus are rare and often undiagnosed or misdiagnosed. Although rare, asphyxia resulting from obstruction of the glottis is the most serious complication. Knowledge of the clinical, radiographic and endoscopic features is important.