摘要
目的 探讨各项检查手段对于食管平滑肌瘤的诊断价值 ,分析胸腔镜治疗食管平滑肌瘤的经验。方法 回顾性分析本组 16例“食管平滑肌瘤”患者的超声内镜、上消化道造影、胸部CT及术中所见、术后病理。结果 本组术前经上消化道造影及超声内镜诊断为食管平滑肌瘤 16例 ,经证实 5例为误诊 ,该 5例中隆突下淋巴结结核 3例、食管结核 1例、食管旁脂肪瘤 1例 ,误诊率为 31.3%。经胸腔镜手术 6例 ,因纵隔淋巴结结核中转开胸后行食管部分切除 1例。结论 食管平滑肌瘤尤其位于食管中段者术前影像学检查误诊率高 ,经胸腔镜治疗应慎重操作 。
Objective:To discuss the values of diffrent kinds of methods in the diagnosis of esophageal leiomyoma, and the experience of esophageal leiomyoma treatment by VATS.Methods:Sixteen patients with “esophageal leiomyoma” were analyzed in this paper, the reports of their endoscopic ultrasonography (EUS), Barium swallow study, CT,operation and postoperative pathology were collected. Results:Five of total 16 patients who had been diagnosed as esophageal leiomyoma by endoscopic ultrasonography (EUS) and Barium swallow study were misdiagnosed.Among them, are subcarina lymphonode tuberculosis, 1 esophageal tuberculosis, 1 lipoma around esophageal.Misdiagnosing rate is 31.3 %.Six of total were underwent VATS, 1 turned to thoracotomy and was preformed esophageal resection because of lymphonode tuberculosis Conclusions:Esophageal leiomyoma especially at media esophagus has high misdiagnosing rate in preopentive imagedogy and should be carefully treated by VATS and turn to thoracotomy in time if necessary
出处
《中国内镜杂志》
CSCD
2003年第11期27-29,32,共4页
China Journal of Endoscopy
