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目的探讨贲门癌切除术后综合治疗的实用性。方法对100例应用B超、X线、CT和纤维胃镜等检查方法，明确肿瘤主要转移部位的贲门癌切除术后随诊患者进行分析。结果术后肿瘤远处转移和局部复发的主要部位依次为腹腔种植及腹腔淋巴转移占57％，肝转移41％．肺转移16％，锁骨上淋巴结转移14％，吻合口复发7％，脑转移3％，骨转移2％，胸膜、脊髓和全身广泛转移各占1％。结论术中或术后早期腹腔内化疗以及术后全身辅助化疗对提高晚期贲门癌生存率有实用性和必要性。
Objective To explore the practicability of comprehensive treatment after cardiac cancer resection. Methods 100 cases of B-ultrasonography, X-rays, CT and fiberoptic gastroscopy examination were used to identify the follow-up patients after cardiac cancer resection. Results The main sites of distant metastasis and local recurrence of tumor after surgery were abdominal cavity implantation and abdominal lymph node metastasis, accounting for 57% and liver metastasis 41%. Lung metastasis was 16%, supraclavicular lymph node metastasis 14%, anastomotic recurrence 7%, brain metastases 3%, bone metastases 2%, and pleural, spinal cord, and extensive metastases to the body accounted for 1% each. Conclusion Intraoperative intraperitoneal chemotherapy and postoperative adjuvant chemotherapy are effective and necessary to improve the survival rate of advanced cardial cancer.