论文部分内容阅读
患者女,58岁。进食梗噎感约1年半,逐渐加重。近1月来只能进半流质,体格检查无特殊阳性体征。x 线检查:胸食管上段明显扩张,长约13cm,扩张最宽处达4.5cm,其内有螺旋形垫压样充盈缺损,相邻处的管壁后方附有软组织肿块,约10×4.5cm。管壁光滑,有弹性,粘膜受压舒展,食管外形弯曲。X 线诊断良性肿瘤。CT 检查在3～9层面显示向食管腔内突出的软组织肿块,边缘光整,诊断平滑肌瘤。
Female patient, 58 years old. Eating stalks for about a year and a half has gradually increased. Only half of fluids have been available in the past January, and there are no special positive signs for physical examination. X-ray examination: the upper part of the chest and esophagus was significantly expanded, about 13cm long, and the widest point of expansion was 4.5cm. There was a spiral pad-like filling defect in the chest, and a soft tissue mass was attached to the wall of the adjacent wall. About 10 × 4.5cm . The wall of the tube is smooth and elastic, the mucous membrane is stretched and the esophagus is curved. X-ray diagnosis of benign tumors. The CT examination showed soft tissue mass protruding from the esophageal cavity at the 3 to 9 level, with marginal trimming and diagnosis of leiomyoma.