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目的:探讨食管结核的临床特点及诊疗方法。方法:对我院2000/2006年收治的7例食管结核患者的临床资料进行回顾性分析。2例术前确诊为食管结核,并行抗结核治疗6个月;5例误诊,分别为食管癌2例,食管平滑肌瘤3例。4例行食管结核切除加胃代食管术,3例行淋巴结清扫术。结果:随访2~5 a均无吞咽困难或病变复发。结论:食管结核发病率低,难以与食管癌和食管良性肿瘤鉴别;采用抗结核治疗及手术治疗效果良好。
Objective: To explore the clinical features and diagnosis and treatment of esophageal tuberculosis. Methods: The clinical data of 7 patients with esophageal tuberculosis admitted in our hospital from 2000 to 2006 were analyzed retrospectively. Two cases were diagnosed as esophageal tuberculosis preoperatively and 6 months in parallel with anti-TB treatment. Five cases were misdiagnosed as esophageal cancer in 2 cases and esophageal leiomyoma in 3 cases. 4 cases of esophageal tuberculosis resection plus esophageal esophageal surgery, 3 cases of lymph node dissection. Results: No complications of swallowing or recurrence were observed after 2 ~ 5 years of follow-up. Conclusion: The incidence of esophageal tuberculosis is low, it is difficult to distinguish with esophageal cancer and esophageal benign tumor. The antituberculous therapy and surgical treatment are effective.