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1981年9月—1982年3月,采用不经胸食管外拔脱术和内翻拔脱术治疗老弱或有开胸禁忌的中晚期食管,贲门癌15例。食管外拔脱术较内翻拔脱为优。与经胸食管手术比较,具有出血少,损伤小,心肺功能干扰小,手术简便,安全,术后体质恢复快。适用于:1.良性食管狭窄、闭锁、部分高位放射治疗后食管狭窄的病例。2.患有循环,呼吸系统疾患、驼背、胸廓畸形、高龄的颈胸段和中下段食管癌病例。3.贲门腺癌肿块局限有食管浸润者。高龄和患有心、肺等重要脏器疾患的食管癌病人,可试用食管拔脱术治疗。我院1981年9月到1982年3月,采用不经胸食管脱术和内翻拔脱术,治疗老弱或有开胸禁忌外拔的中晚期食管癌15例,初见成效,报道如下。
From September 1981 to March 1982, there were 15 cases of advanced esophageal and cardiac cancers treated with chest-esophagectomy and valgus-pulling surgery. Esophageal pullout surgery is superior to inversion and distraction. Compared with transthoracic esophageal surgery, it has less bleeding, less damage, less interference with heart and lung function, simple and safe operation, and quick recovery after physical operation. Applicable to: 1. Cases of benign esophageal stricture, atresia, and partial esophageal stenosis after high radiation treatment. 2. Patients with circulatory and respiratory diseases, kyphosis, thoracic deformity, advanced cervical thoracic and middle and lower esophageal cancers. 3. Cardiac adenocarcinoma mass is limited by esophageal infiltration. Elderly patients with esophageal cancer who have heart, lung, and other important organ diseases can try esophageal extraction. In our hospital from September 1981 to March 1982, 15 cases of advanced and advanced esophageal cancer treated with orthodontic evacuation and indirect extraction were treated. The results were as follows: .