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目的提高对食管壁内假性憩室的诊断水平。方法报道3例食管壁内假性憩室钡餐造影资料,介绍了本组3例所行食管气钡和(或)低张气钡对比检查方法,效果良好。结果3例均显示典型食管壁内假性憩室的小囊袋状改变,囊袋大小1~4 mm,颈部长为1~2 mm。2例为弥漫型分布全食管,1例为节段型分布于中下段;2例可见部分憩室颈部斜向胃端走行,夹角在30°~45;°1例可见憩室间通道形成,通道长5~10 mm;3例中仅1例(例3)食管末端狭窄,显示反流性食管炎改变;1例(例1)行食管纤维内镜检查,能清楚发现憩室口部,组织学见憩室颈部周围少量炎性浸润,颈部和底部衬以移行的黏膜上皮和结缔组织。结论本病少见,其检查价值在于与各种食管炎并发的早期表浅溃疡、食管穿孔等病鉴别。食管钡造影检查示食管壁内斜行走向的颈管为其表现特征。
Objective To improve the diagnosis of pseudo-diverticulum in esophageal wall. Methods Three cases of esophageal wall pseudo-diverticulum barium meal imaging data were reported. The comparative examination of esophageal barium and (or) barium-air barium in three patients in this group was introduced and the results were good. Results All three cases showed pseudocystic diverticulum in the esophageal wall. The size of the sac was 1 ~ 4 mm and the length of the neck was 1 ~ 2 mm. 2 cases were diffuse distribution of the total esophagus, 1 case was segmental distribution in the middle and lower segments; 2 cases can be seen part of diverticulum neck oblique gastric terminal, angle of 30 ° ~ 45; ° 1 cases of diverticula can be seen channel formation, The length of the passage was 5 to 10 mm, only 1 of 3 cases (Example 3) had a stenosis of the esophagus and showed a change in reflux esophagitis. One case (case 1) underwent esophageal fiber endoscopy to clearly identify the diverticular orifice and tissue See diverticulum a small amount of inflammatory infiltration around the neck, lining the bottom of the neck and transitional mucosal epithelium and connective tissue. Conclusion The rare disease, the test value lies in the early with a variety of esophagitis complicated superficial ulcers, esophageal perforation and other diseases identified. Esophageal barium angiography showed the wall of the esophageal incline towards the performance of the neck.