巨大食管平滑肌瘤的外科治疗：附13例报告  

Surgical treatment of giant esophageal leiomyoma：report of 13 cases

作　　者：韩玉龙[1] 

机构地区：[1]河南省商丘市第一人民医院胸外科,476000

出　　处：《中国医师进修杂志》2010年第29期22-23,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨巨大食管平滑肌瘤的诊断和外科治疗的效果。方法回顾性分析2001年4月至2009年3月手术治疗的13例巨大食管平滑肌瘤患者的临床资料。结果术前经食管钡餐造影及食管镜检查确诊12例，误诊1例。13例手术顺利，术后无食管瘘、食管狭窄等并发症，随访6个月至3年，12例巨大食管平滑肌瘤患者均无复发，1例食管平滑肌肉瘤患者术后10个月死于肿瘤复发。结论手术切除是治疗巨大食管平滑肌瘤惟一有效的方法，多数病例可行黏膜外肿瘤摘除术；合并食管恶性病变者应行食管部分切除、胃一食管吻合术；内镜及胸腔镜手术治疗巨大食管平滑肌瘤有一定的局限性，应严格适应证的选择。Objective To investigate the effects of diagnosis, surgical treatment of giant esophageal leiomyoma. Method The clinical data of 13 patients with giant esophageal leiomyoma treated by surgical operation from April 2001 to March 2009 were retrospectively analyzed. Results Twelve cases were preoperatively diagnosed by esophagagram and esophagoscopy, 1 case was misdiagnosed. Surgical resection was performed successfully in all 13 patients and no complications such as esophageal fistula and esophageal stenosis were found. Followed up 6 months to 3 years, no recurrence was found among 12 patients with giant esophageal leiomyoma, 1 case with esophageal leiomyosarcoma died of tumor recurrence 10 months after operation. Conclusions Surgical resection is the only effective treatment of giant esophageal leiomyoma. Enucleation of tumor extra-mucosa can be used in most cases. Esophagectomy is available for large tumor or malignant tumor. Treatment by endoscopic and thoracoscopic surgery has some limitations and the indications should be considered strictly.

关 键 词：食管 平滑肌瘤 外科手术 治疗结果 

分 类 号：R735.1[医药卫生—肿瘤]