天津医药

• 短篇与病例报告 • 上一篇    

食管平滑肌瘤的影像学诊断分析

毛雨   

  1. 天津市第三医院
  • 收稿日期:2011-06-23 修回日期:2011-07-25 出版日期:2011-11-15 发布日期:2011-11-15
  • 通讯作者: 毛雨

Image diagnosis and analysis of esophageal leiomyoma

yu MAO   

  • Received:2011-06-23 Revised:2011-07-25 Published:2011-11-15 Online:2011-11-15
  • Contact: yu MAO

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摘要： 【摘要】目的：通过对12例典型病例进行总结，提高对食管平滑肌瘤的影像学表现及其鉴别诊断的认识。方法：总结我院97年至2007年均经手术及病理检查证实的一组食管平滑肌瘤，共12例。结果：本文12例食管平滑肌良性肿瘤,男性7例,女性5例。平均年龄为39岁,病程由3个月至3年。全部病例均有进食后异物感,有程度不等之胸骨后不适或疼痛,肿瘤发生在食道入口处1例,中下段9例,上段1例,下段1例。肿瘤大小由0.5×0.5×l厘米至18×3×2厘米。肿瘤形状圆形或半圆形10例,哑铃形1例,带蒂呈倒萝卜状1例。结论：大部分病例具有食道良性肿瘤的典型表现，但对于某些特殊类型的食道平滑肌瘤，如带蒂的平滑肌瘤及位于食道入口处的平滑肌瘤等，则需仔细观察并注意与相关疾病的鉴别。

关键词: 食道, 平滑肌瘤, 影像学诊断

Abstract: Abstract:objective: We analyse 12 cases of typical esophageal leiomyoma in order to improve the understanding for it. Method: There are 12 cases of esophageal leiomyoma which have been proved by operation and pathological examination from 1997-2007. Results: In the 12 cases, 7 are males, 5 are females. The average age is 39. The course of disease is from 3 months to 3 years. All patients have the foreign matter sense after eating and the pain behind sternum. One of them occurred in the ingress of esophagus, 9 in the middle-under part, one in the upside, one in the underpart. The sizes of esophageal leiomyoma are from 0.5×0.5×l.0cm to18×3.0×2.0cm. The shape of esophageal leiomyoma is round and half-round for 10 cases , one looks like dumbbell, one case has pediculus. Conclusion: Most cases have the typical symptoms of the esophageal benign tumor, but some special cases need careful observation, for example, the esophageal leiomyoma with pediculus and the esophageal leiomyoma occurred in the ingress.

Key words: Key wordesophagus, leiomyoma, image diagnosis