我院自1960年3月以来,经外科治疗82例贲门失弛症中,并发食管癌 3例(3.7％),现报告如下: 例1,男,40岁。诉14年前曾因贲门失弛症行He-ller术,术后仍有间断性吞咽困难,有时呕吐隔夜食物,未行任何治疗。近2月进行性吞咽困难,伴进食后胸骨后刺痛,明显消瘦。X线钡透:食管极度扩张,中段食管有8 cm充盈缺损段,食管下端贲门部呈鸟嘴样狭窄。于1988年6月3日经右胸、上腹切口探查。术中见食管极度扩张,最大径11cm,贲门部显著狭窄。肿瘤位于奇静脉平面下,约8×6×6cm, In our hospital since March 1960, 82 cases of achalasia were complicated by esophageal cancer in 3 cases (3.7%). The current report is as follows: Example 1, male, 40 years old. He had been treated with He-ller because of achalasia 14 years ago. She still had intermittent dysphagia after surgery. Sometimes she vomited overnight food without any treatment. Dysphagia occurred in the last 2 months, with tingling after sternum after eating, and was obviously wasted. X-ray scan: extreme expansion of the esophagus, the middle esophagus 8 cm filling defect segment, the lower esophageal fontanelle-like stenosis. On June 3, 1988, he underwent an exploration of the right chest and upper abdomen. During the operation, the esophageal hyperextension was seen with a maximum diameter of 11 cm and the cardia was significantly narrowed. The tumor is located on the surface of the azygos vein, approximately 8 x 6 x 6 cm.