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本期重点内容是腹腔肿瘤(胰腺肿瘤除外),共收到文稿51篇,其中胃癌18篇、大肠痛16篇、肝癌5篇。其他腹腔肿瘤12篇,这表明腹腔肿瘤仍然占消化道肿瘤的85％以上。腹腔肿瘤的治疗效果仍与早期诊断、早期治疗成正相关,反之则导致复发率高、生存率低。现就综合来稿提出几点看法。 一、提高胃癌的早期诊断:胃癌治疗效果至今仍不能令人满意。1993年11月在南宁召开的全国会议上统计,胃癌患者近半数(47.7％)于确诊后半年内死亡,存活三年以上的仅14％;而对胃癌手术的根治性,国内外各家意见不一致,国外也不一致。由于近年诊断技术迅速发展,胃癌的早期诊断率也较前提高,已由3.6％升至15.4％,可以通过胃镜、B型超声、CT、彩色多普勒等来发现;钡餐和空气对比检查仍很重要,可达到78.6％的阳性率。本期余成仿等报告胃癌术式的合理选择,其论点可得到大多读者的赞同。胃癌根治手术的彻底性,推广网膜囊外根治切除,消灭转移,术前、术中、术后的化疗和放疗和介入治疗等的综合应用,防止癌肿细胞脱落于腹腔,并研究胃癌不同生物学特性来决定强化方案等,才能提高胃癌疗效和病人的生存率。
The focus of this issue was abdominal cavity tumors (excluding pancreatic tumors). A total of 51 articles were received, including 18 gastric cancers, 16 large intestine pains, and 5 liver cancers. There were 12 other celiac tumors, indicating that abdominal tumors still account for more than 85% of digestive tract tumors. The therapeutic effect of celiac tumors is still positively correlated with early diagnosis and early treatment, whereas the recurrence rate is high and survival rate is low. Here are some opinions on comprehensive contributions. First, improve the early diagnosis of gastric cancer: The therapeutic effect of gastric cancer is still unsatisfactory. At the National Conference held in Nanning in November 1993, nearly half (47.7%) of patients with gastric cancer died within half a year after diagnosis, and only 14% of those who survived for more than three years; and for the radical treatment of gastric cancer, opinions of various domestic and foreign experts Inconsistent, foreign countries are also inconsistent. Due to the rapid development of diagnostic techniques in recent years, the early diagnosis rate of gastric cancer has also increased from 3.6% to 15.4%. It can be found by gastroscopy, B-mode ultrasound, CT, color Doppler, etc. It is important to reach a positive rate of 78.6%. In the current issue, Yu Chengyi et al. reported the rational choice of gastric cancer surgery, and its arguments can be approved by most readers. The thoroughness of radical gastrectomy for gastric cancer, promotion of extracapsular sacral radical excision, elimination of metastasis, comprehensive application of preoperative, intraoperative, postoperative chemotherapy, radiotherapy, and interventional therapy to prevent cancer cells from falling off in the abdominal cavity, and to study different gastric cancers Biological characteristics to determine the strengthening program, etc., can improve the efficacy of gastric cancer and the patient’s survival rate.