【摘要】 目的 探讨食管黏液表皮样癌(MEC)的X线钡餐造影表现及其临床价值。方法 搜集经手术病理证实的食管MEC 28例,对其发病率、生存率、发生部位、长度、X线分型等进行回顾性分析。结果 28例食管MEC约占同期食管癌手术病例的0.97%。术后1年、3年、5年生存率分别为79%、50%、37%,中位生存时间约31月。胸上段3例(占10.7%),胸中段24例(占85.7%),胸下段1例(占3.6%)。最短20 mm,最长60 mm,平均31.25 mm。X线分型:髓质型8例,占28.6%,溃疡型1例,占3.5%,缩窄型19例,占67.9%。结论 X线钡餐造影在诊断食管MEC具有重要价值。更多还原

【Abstract】 Objective To investigate the findings and its value of X-ray barium examination of esophagus of esophageal mucoepidermoid carcinoma(MEC).Methods Twenty-eight cases with pathological proved esophageal MEC were selected.The morbidity,survival rate,and the location,length and X-ray type of the lesions were retrospectively analyzed.Results The morbidity of esophageal MEC in this group was about 0.97% in all patients with esophageal carcinoma confirmed by surgery in the same period.The survival rates were 79%,50% and 37% for one year,3 years and 5 years,respectively with medium 31 months after operation.The lesions located in superior segment of the esophagus in 3 cases(10.7%),in middle segment of the esophagus in 24 cases(85.7%)and in inferior segment of the esophagus in one(3.6%).The shortest lesion was about 20 mm and the longest lesion was about 60mm,the average length was about 31.25 mm.The classification on radiography included medullary type in 8(28.6%),ulcer type in one(3.5%) and sclerotic type in 19(67.9%).Conclusion X-ray barium radiography is of important value in diagnosing esophageal MEC.更多还原