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本文报告118例贲门癌患者,术前应用超声显像法估计手术切除可能性,手术组100例,其中肿块<5 cm,无明显外侵声像图表现者72例,为手术绝对适应证,手术切除率88.9%(64/72);肿块5~7 cm,或伴有周围淋巴结转移,数目<3枚,0/≤1 cm者28例,为手术相对适应证,手术切除率50%(14/28);肿块大于8 cm,或伴有淋巴结,肝脏和胰腺转移者18例,为非手术适应证,免于手术探查,术中所见肿瘤大小及外侵情况与超声检查对照符合率为83%。作者认为:超声显像法术前估计贲门癌切除可能性有重要价值,可作为选择手术适应症的常规方法。
This article reports 118 cases of cardia cancer patients, preoperative application of ultrasound imaging to assess the possibility of surgical resection, the operation group of 100 patients, of which <5 cm mass, no apparent invasion of 72 cases of sonographic manifestations, the absolute indications for surgery, The surgical resection rate was 88.9% (64/72). The tumor size was 5 ~ 7 cm, or there were 28 cases with peripheral lymph node metastasis (<3 pieces, 0 / ≤1 cm) 14/28); tumor more than 8 cm, or accompanied by lymph nodes, liver and pancreas in 18 cases, for non-surgical indications, from surgical exploration, intraoperative findings of tumor size and invasion and ultrasound examination control coincidence rate 83%. The authors believe that: ultrasound imaging preoperative assessment of the possibility of gastric cardia resection has important value, can be used as a routine choice of surgical indications.