食管平滑肌瘤的诊断与外科治疗（附7例报告）

Diagnosis and surgical treatment of esophagus liomyoma

目的探讨食管平滑肌瘤的外科治疗方法及临床效果。方法回顾性分析2006年4月至2012年6月手术治疗的7例食管平滑肌瘤患者的临床资料。结果7例手术顺利，无围术期死亡病例，病理检查均为平滑肌瘤；术后患者进食正常，无胸骨后不适，合并肺部感染2例，经治疗痊愈，无食管瘘、食管狭窄等并发症出现。出院随访6个月-2年未见复发。结论食管平滑肌瘤一旦确诊，均应手术治疗，首选黏膜外肿瘤摘除术，巨大肿瘤或有恶变者可根据病情个体化选择手术方式。

Objective To investigate the surgical treatment method of esophagus liomyoma and its clinical effect. Methods From April 2006 to June 2012, the clinical data of 7 patients with esopha- gus liomyoma underwent surgery were retrospectively analyzed. Results Operation was completed suc- cessfully in all of the 7 cases, there was no death case during the perioperative period, and the pathologi- cal examination showed that all of the cases were liomyoma. Patients ate normally and without substernal discomfort after the surgery, 2 patients with pulmonary infection and recovered after treatment, there were no complications of esophagostoma or esophageal stenosis. During the 6 months to 2 years of followed-up, the symptom did not recur. Conclusions Once the esophagus liomyoma is diagnosed, patients should be treated with operation, and the first choice is mucosa tumor excision, however, for huge tumour or the tumour with canceration, the operation method should be individually chose in accordance with the pa- tient＇ s condition.