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1 临床资料 我院自1988年1月～1990年12月因误诊为贲门癌而手术的11例,男7例,女4例;年龄47～73岁,平均56岁。病史中均有不同程度的吞咽梗阻症状,4例伴上腹部隐痛,3例伴呕吐,病程2月～3年。术前均行食道吞钡摄片或GI检查,X线主要表现为:贲门部狭窄,食管不同程度扩张,粘膜中断破坏,充盈缺损或龛影。有7例行纤维胃镜检查并活检,病理报告均未发现癌细胞。本组有2例行食管裂孔疝修补术,4例行贲门部粘连束带松解术,5例行单纯探查术。随访1～4年,随访期间无一例发生贲门癌。
1 Clinical data In our hospital from January 1988 to December 1990 due to misdiagnosis of cardiac cancer and surgery in 11 cases, 7 males and 4 females; aged 47 to 73 years, average 56 years old. In the history, there were different degrees of symptoms of swallowing obstruction, 4 cases with abdominal pain, 3 cases with vomiting, duration of 2 months to 3 years. Before surgery, esophagoscopy and GI examinations were performed. The X-ray findings were as follows: cardia stenosis, esophageal dilation of various degrees, mucosal disruption, filling defect, or shadowing. There were 7 cases of gastroscopy and biopsy. No pathological reports found cancer cells. In this group, there were 2 cases of esophageal hiatal hernia repair, 4 cases of the cardia department adhesion band lysis, and 5 cases of simple exploration. Follow-up of 1 to 4 years, no case of cardiac cancer occurred during follow-up.