[食管平滑肌瘤的诊断与治疗]

[Diagnosis and treatment of esophageal leiomyoma].

作者信息

Zheng Ru-heng, Feng Ming-xiang, Ge Di, Hou Ying-yong

机构信息

Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2005 Jan;8(1):26-8.

PMID:16148993

Abstract

OBJECTIVE

To summarize the experience of diagnosis and treatment of esophageal leiomyoma.

METHODS

Clinical data of 52 patients with esophageal leiomyoma were analyzed from 1993 to 2002.

RESULTS

About 54% patients in this group had difficulty of food intake. The diagnostic accuracy of gastrointestinal barium meal series, computed tomography, gastric endoscope and endoscopic ultrasonography (EUS) for esophageal leiomyoma was 64% 44% 27% and 90% respectively. All patients received operation, resection of esophageal leiomyoma by videothoracoscopy (VAS) and endoscope were performed in 6, 9 patients respectively. The remaining 37 patients received regular open operation,in whom 32 cases received enucleation of esophageal leiomyoma, 5 cases received partial esophageal resection and esophageal-gastric anastomosis. No serious complications occurred except only one case needed operation again because of bleeding.

CONCLUSION

EUS is an effective method for diagnosing esophageal leiomyoma. VAS and endoscopic treatment should be considered for suitable cases in order to reduce the trauma.

摘要

目的

总结食管平滑肌瘤的诊断与治疗经验。

方法

分析1993年至2002年52例食管平滑肌瘤患者的临床资料。

结果

该组约54%的患者有进食困难。胃肠道钡餐造影、计算机断层扫描、胃镜及内镜超声检查（EUS）对食管平滑肌瘤的诊断准确率分别为64%、44%、27%和90%。所有患者均接受手术治疗，其中6例、9例分别采用电视胸腔镜（VAS）和内镜切除食管平滑肌瘤，其余37例接受常规开胸手术，其中32例行食管平滑肌瘤摘除术，5例行部分食管切除及食管胃吻合术。除1例因出血需再次手术外，无严重并发症发生。