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作者对本院1978年～1985年间经手术治疗的877例贲门癌病例中随机抽取探查组150例及切除组100例行对照分析,探讨晚期贲门癌切除可能性的临床和X线判断指标。结果表明:患者近期食量减少约一半以上,上腹部持续性钝疼以及剑突下明显深压痛3项为肿瘤外侵的重要临床征象;胃背间局限性密度增高、胃小弯明显成角以及贲门胃小弯巨大软组织块影3项为肿瘤外侵的X线表现。凡同时出现上述6项征象者,可判断肿瘤不能切除;凡出现X线任何1项和临床3项征象者,则手术应慎重。
The author of the hospital from 1978 to 1985 surgical treatment of 877 cases of cardiac cancer cases were randomly selected in the exploratory group of 150 cases and 100 cases of resection group were conducted control analysis to explore the clinical and X-ray evaluation indicators of the possibility of resection of advanced cardiac cancer. The results showed that: the patient’s recent food intake decreased by more than half, persistent dull epigastric pain, and deep tenderness below the xiphoid were three important clinical signs of extravasation of the tumor; localized density of the stomach was increased; The 3 large soft tissue shadows of the small cardia of the gastric cardia were the X-ray findings of tumor invasion. Where the above six signs appear at the same time, it can be judged that the tumor cannot be removed; any person who has any one of the X-rays and three clinical signs should be treated with caution.