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中华消化病与影像杂志(电子版) ›› 2018, Vol. 08 ›› Issue (06) : 282 -284. doi: 10.3877/cma.j.issn.2095-2015.2018.06.012

所属专题: 经典病例 经典病例 文献

病例报告

Zenker憩室一例
仇方, 刘同亭1,(), 魏志2   
  1. 1. 250022 解放军第960医院医务部
    2. 250022 解放军第960医院消化内科
  • 收稿日期:2018-09-18 出版日期:2018-12-01
  • 通信作者: 刘同亭
  • Received:2018-09-18 Published:2018-12-01
引用本文:

仇方, 刘同亭, 魏志. Zenker憩室一例[J]. 中华消化病与影像杂志(电子版), 2018, 08(06): 282-284.

图1 上消化道钡餐造影示:食管上段颈部水平左侧壁可见一向外侧突起的圆形阴影,边缘整齐,光滑,大小约3 cm×2 cm,局部食管可见弧形压迹,边缘不规则
图2 内镜下经黏膜下隧道憩室间脊切开术:食管憩室距门齿18 cm左侧壁,大小约3 cm,前置锥形透明帽,自距门齿15 cm处注射针黏膜下注射,使黏膜抬举,Flush水刀建立隧道,暴露憩室脊间隔,Flush水刀离断脊间隔,长约3 cm。观察憩室变浅,置放钛夹封闭隧道口及黏膜破损处
图3 上消化道泛影葡胺造影示:食管上段憩室,较术前憩室略显缩小,边缘光滑,潴留减轻
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