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我科自1986年1月～1994年1月手术治疗食管癌、贲门癌患者798例,其中手术未能切除58例者,占7.27%.为进一步提高食管癌贲门癌的手术切除率提供临床依据,现就对未能切除肿瘤的病例进行分析.1 临床资料1.l 一般资料 本组58例,男性45例,女性13例.年龄31～69岁.食管癌(上段癌2例、中段癌38例、下段癌3例)43例,贲门癌15例,其中上消化道双原发癌3例.发病时间:按就诊时计算1月～14月,其中<3月者21例,3月～6月者28例,>6月者9例.临床症状:吞咽梗阻57例(98.28%),胸痛30例(51.72%),上腹部胀痛5例(8.62%),呕血、黑便9例(15.52%),明显消瘦33例(56.90%).病
In our department, from January 1986 to January 1994, 798 cases of esophageal and cardiac cancers were treated, of which 58 cases failed to be removed by surgery, accounting for 7.27%. This provides a clinical basis for further improving the surgical resection rate of esophageal and cardiac cancer. , Now on the case of unresected tumors were analyzed.1 Clinical data 1.l General information The group of 58 patients, 45 males, 13 females, aged 31 to 69 years old. Esophageal cancer (2 cases of upper carcinoma, middle carcinoma 38 cases, 3 cases of lower carcinoma, 43 cases, cardiac cancer, 15 cases, including 3 cases of upper gastrointestinal cancer. Incidence time: calculated from January to 14 months according to the visit, including 21 cases in March. There were 28 cases in ~6 months and 9 cases in >6 months. Clinical symptoms: 57 cases (98.28%) with swallowing obstruction, 30 cases (51.72%) with chest pain, 5 cases (8.62%) with upper abdominal pain, vomiting blood, and black stool 9 Cases (15.52%), marked emaciation in 33 cases (56.90%).