论文部分内容阅读
男性,63岁。进食梗噎2年,咽下困难3个月。现进半流质。先后多次在外院诊疗,诊断为“返流性食管炎”。经保守治疗,症状渐趋严重。查体无阳性发现。上消化道造影示食管下段向心性狭窄,呈“鸟嘴状”,膈上有数条粘膜影与胃底相连。食管镜距门齿35cm处,食管腔明显狭窄,粘膜苍白水肿,左侧壁有一结节,质脆易出血,咬检病理:(1)食管鳞癌(2)食管慢性炎症。术前诊断:食管裂孔疝合并(1)下段食
Male, 63 years old. After 2 years of feeding, it was difficult to swallow for 3 months. Now semi-liquid. He has repeatedly been diagnosed and treated in an external hospital and diagnosed with “reflux esophagitis.” After conservative treatment, the symptoms are getting worse. No positive findings were found. Upper gastrointestinal angiography showed a concentric narrowing of the lower esophagus and a “beak-like” pattern with several mucosal shadows attached to the fundus. Esophageal distance from the incisor 35cm, esophageal cavity was narrow, pale mucosal edema, a left nodule on the left wall, brittle and easy bleeding, bite detection pathology: (1) esophageal squamous cell carcinoma (2) chronic esophageal inflammation. Preoperative diagnosis: hiatal hernia merging (1) lower segment food