良性疾病误诊为食管癌行手术治疗17例分析

目的 :总结食管良性疾病误诊为食管癌行手术治疗的经验教训。方法 :回顾 17例良性疾病误诊为食管癌而行手术治疗的病历资料 ,分析其临床表现、辅助检查及治疗情况。结果 :本组上消化道造影、食管镜、组织学的误诊率分别为 88 2 %、5 2 9%及 0 ;前两者各种表现均缺乏特异性。结论 :坚持以病理为依据是减少误诊食管癌的重要准则 ;多种检查相结合及必要时复查可减少误诊 ;提高临床医生自身对辅助检查的诊断及评价能力十分重要。

Analysis of 17 Surgical Treated Cases of Benign Disease Misdiagnosed as Carcinoma of Esophagus

Objective To summarize the experience of surgical treatment of benign disease misdiagnosis as esophagus carcinoma.Methods The case histories of a total of 17 surgical treated cases with benign disease misdiagnosed as esophagus carcinoma were retrospected.Their manifests,examinations and therapy were analysised.Results The error diagnosis rates of X ray,endoscopy and biopsy in this group were 88 2%,52 9%and 0 respectively;none of the manifests of X ray and endoscopy was specificity.Conclusions It is a fundamental of reducing error diagnosis as esophagus carcinoma that the diagnosis be made according to pathology insistently.It is helpful for reducing the diagnositic errors to combine several techniques and to reexamination if necessary.It is very important to improve the surgeon's ability of diagnosis and evaluation as to the examinations.