食管憩室  

Esophageal Diverticulum

作　　者：任华[1] 程合福 于洪泉[1] 张志庸[1] 李泽坚[1] 

机构地区：[1]协和医院

出　　处：《中国医学科学院学报》1991年第6期404-407,T024,共5页Acta Academiae Medicinae Sinicae

摘　　要：25年中有19例食管憩室病人在我院接受手术治疗,其中11例施行憩定切除术(10例膨出型,1例外牵型);4例憩室作内翻埋缝术(均为外牵型);4例因憩室并发食管癌而行食管部分切除,食管-胃重建术。随诊膨出型憩室切除疗效较满意,外牵型憩室手术切除疗效优于内翻埋缝术。本组病例除合并憩室炎、食管炎外,4例憩室在开口附近合并食管癌。病理检查示憩室和附近食管的粘膜、粘膜下层有大量炎性细胞浸润,上皮细胞增生,越靠近癌肿越明显。憩室合并食管癌很可能与慢性憩室炎和食管炎有关。During a 25-year period, nineteen patients with esophageal diverticulum were treated surgically in PUMC Hospital. Of them, eleven cases underwent resection of the divarticulum(10 pulsion type and 1 traction type), and four cases were treated by inversion suturing of the diverticulum (all traction type). The results of follow-up showed that pulsion diverticulum resection was satisfactory, and the resection was better than inversion suturing for traction-type diverticula. In this series, diverticulitis and esophagitis were present in all cases. Carcinoma of the esophagus developed at site near the diverticulum in 4 cases. Pathologic examination demonstrated severe submucosal inflammatory infiltration and epithelial hyperplasia of the esophagus associated with the diverticulum, with these changes being increasingly severe with the nearness of the carcinoma to the diverticulum. Carcinoma of the esophagus as a complication of diverticulum may be associated with chronic diverticulitis and esophagitis.

关 键 词：食管憩室 憩室炎 食管炎 手术 

分 类 号：R655.4[医药卫生—外科学]