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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1980年1月至2005年1月收治的11例食管结核患者的临床资料进行回顾性分析。结果食管结核确诊4例,其中纵隔内淋巴结核2例、增生型食管结核2例；误诊7例,分别为食管癌4例、食管平滑肌瘤3例。11例中2例经抗结核药物治疗痊愈；9例经手术治疗痊愈,其中3例行食管结核切除加胃代食管术,5例淋巴结清扫术,l例结核性脓肿切开排除术。随访1-16年均无吞咽困难或结核复发。结论食管结核难以与食管癌和食管良性肿瘤鉴别。多采用抗结核药治疗有效,出现并发症则需手术治疗,术后仍需抗结核治疗12-18个月。
Objective To explore the clinical features and diagnosis and treatment of esophageal tuberculosis. Methods The clinical data of 11 patients with esophageal tuberculosis admitted from January 1980 to January 2005 were analyzed retrospectively. Results Four cases were diagnosed as esophageal tuberculosis, including 2 cases of mediastinal lymph node tuberculosis and 2 cases of hyperplastic esophageal tuberculosis. Seven cases were misdiagnosed as esophageal cancer and 3 esophageal leiomyoma. 2 of 11 cases were cured by antituberculosis drugs; 9 cases were cured by surgery, of which 3 cases underwent esophageal tuberculosis resection plus esophageal esophagectomy, 5 cases lymphadenectomy, l cases of tuberculous abscess excision. No dysphagia or tuberculosis recurrence occurred in 1 to 16 years follow-up. Conclusion Esophageal tuberculosis and esophageal cancer is difficult to identify benign tumors. More effective use of anti-TB drugs, the complications required surgical treatment, the need for anti-TB treatment after 12-18 months.