食管良性疾病的发病诱因及外科诊治总结分析

目的探讨食管良性疾病发生的原因,讨论其预防、诊断以及外科治疗。方法回顾并分析1994年3月-2011年7月收治的162例食管良性疾病患者的临床资料,对此类疾病的发生诱因、诊断、治疗及预后进行总结分析。结果 162例收治的良性食管病变患者,85例有明确发病诱因,经钡餐X线片、CT、胃镜等相关检查,明确诊断后,均及时外科手术治疗;155例痊愈出院,7例因并发感染性休克、多器官衰竭等治疗无效死亡。结论多数食管良性病变的发生有明确的外部诱因,因此相当一大部分可以预防、避免发生。一旦发生应尽早明确诊断,积极治疗,如保守治疗无效,根据情况应积极手术,以免引起病情进一步恶化,多能达到良好的治疗效果。

Analysis of the Inducement and Surgery Treatment of Esophageal Benign Diseases

Objective To discuss the causes of esophageal benign diseases and how to prevent, diagnose and treat such diseases. Methods We reviewed and analyzed the clinical data of 162 patients with esophageal benign diseases treated in our hospital from March 1994 to July 2011. Causes, diagnosis, treatment and prognosis of this kind of diseases were analyzed and summarized. Results Eighty-five patients had definite inducements. All patients were diagnosed through barium swallow radiography, CT, and gastroscopic inspection and underwent operation. A total of 155 patients were cured by positive treatment, but 7 patients died because of severe infection. Conclusions Most patients suffering from esophageal benign diseases have definite inducements. Therefore, many such diseases can be prevented. Once being confirmed, active surgery is the main treatment. Most patients can be cured if treatment is performed in time.