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探讨影响残胃贲门癌及残胃再发贲门癌手术切除率的相关问题,并对病灶于术前进行正确评估。自1989年至1997年我科共作该类手术40例,术前从(1)影像学检查;(2)基础病变对切除率的影响;(3)病人一般情况等方面进行术前评估。本组40例中,残胃贲门癌(A组)26例,切除率69%(18/26);残胃再发贲门癌(B组)14例,切除率85.7%(12/14),总切除率75%。结果提示,术前正确评估病灶极为重要,可提高手术切除率,减少开胸探查率。
To explore the issues affecting the resection rate of recurrent gastric cardia cancer and recurrent gastric cardia cancer, and to evaluate the lesion before surgery. From 1989 to 1997, our department cooperated with 40 cases of this type of surgery. Preoperative evaluation was performed from the following aspects: (1) imaging examination; (2) influence of basic lesions on resection rate; (3) general conditions of patients. Of the 40 patients in this group, 26 patients were remnant gastric cardia cancer (group A) with a resection rate of 69% (18/26); 14 patients with recurrent gastric cancer (group B) had a resection rate of 85.7% (12/14). The total resection rate is 75%. The results suggest that correct evaluation of lesions before surgery is extremely important, can increase the resection rate, and reduce the rate of open chest exploration.