贲门失弛缓症并发食管癌临床及X线分析

目的：提高贲门失弛缓症并发食管瘤的早期临床X线诊断。材料与方法：21例贲门失弛缓症并发食管癌均经病理证实，作者回顾分析了其临床及X线表现。结果：21例贲门失弛缓症并发食管癌，占我院同期收治食管癌的0．078％，占失治贲门失弛症的1．59％。失弛症病史为8～28年。4例曾作手术治疗。X线检查失弛症重度14例，中度7例。癌位于胸食管上段5例，中下段16例，病变平均长度9cm。结论：贲门失弛缓症有可能因长期食物潴留引起食管炎症，促使食管鳞状上皮变性和癌变。早期手术治疗可缓解症状，但仍有术后并发癌变的病例。对病史长、年龄较大患者，应做详细的食管双对比造影，多轴摄片以及食管镜检查，以提高病变的早期检出率。

Clinical and Radiological Diagnosis of Esophageal Carcinoma with Achalasia

Objective: To elevate the clinical and radiological diagnosis of the association of esophageal carcinoma with achalasia. Material and Method:21 cases of esophageal carcinoma with achalasia were confirmedby pathological diagnosis. The authers retrospectively stUdied the clinical and radiologic findings. Results:Among 26 842 cases of esophageal carcinoma heated during 23 yam, 21 cases were found to be associated with achalasia(0. 078% ) which covered 1. 59% in the untreated cases of esophageal carcinoma. Theduration of achalasia was from 7 to 28 years.4 cases had been operated on X-ray found that 14 cases ofachalasia were serious and 7 moderate. The site of cancer involved the pet-cricoid area in 5 cases and themid-site and the low end in 16 cases. Conclusion: The long-term food stock by achalasia resulted inesophagitis and it would promote the degeneration and carcinogen of squamous epithelium of esophagus.Double contrast esophagography and multiarixis tomography and esophagoscopy should be done carefully.Thus, it will raise the early-stage diagnosis.