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本文对胃肠造影、纤维胃镜、B超检查贲门癌进行了分析,比较三种检查方法对贲门癌的诊断价值.贲门癌的临床表现以晚期症状即吞咽困难为主,病理检查类型以腺癌为主,大多数为中晚期病例,已浸出浆膜外层占93.9%(92/98),本组手术治疗率达100%.根治性切除率81.6%,高于国内报告,全胃切除率17.5%,低于国内报告,术后8项主要并发症发生率18.8%,其中吻合瘘率5%,与国内报告相仿,而切缘癌残留率17.5%,值得重视无瘤手术观点.
This article analyzes gastrointestinal angiography, fiberoptic gastroscopy, and B-ultrasound cardiac cancer and compares the diagnostic value of the three methods for the detection of cardia cancer. The clinical manifestations of cardia cancer are advanced symptoms, ie dysphagia, and the pathological type is adenocarcinoma. Most of the patients were middle and late cases, and 93.9% (92/98) of the outer layer had been leached out of the serosa. The rate of surgical treatment in this group was 100%. The radical resection rate was 81.6%, which was higher than the domestic report. 17.5%, lower than domestic reports, the incidence of 8 major complications after surgery was 18.8%, of which the rate of anastomosis was 5%, similar to the domestic report, and the residual margin of cancer was 17.5%. It is worth paying attention to the point of no tumor surgery.