摘要
目的探讨食管多源癌的诊断及手术治疗方法。方法29例食管多源癌患者经食管X线钡餐造影检查及纤维胃镜下碘染色确诊,并经手术切除标本的病理检查证实。29例中行根治性切除22例,姑息性切除5例,探查2例而未能切除。结果术前确诊21例,术中及术后确诊8例;发现病灶67个,早期病例6例;肿瘤的手术切除率75.9%(22/29),无手术死亡,发生并发症7例。术后随访25例,随访时间7个月～3年。1年生存率77.8%,3年生存率41.6%。结论对食管癌患者常规进行上消化道X线钡餐造影检查,应用内镜下碘染色活检方法可提高诊断率,降低漏诊率,并进行积极的外科治疗,有望改善治疗效果。
Objective To study the diagnosis and surgical treatment of multi-primary esophageal carcinoma. Methods The data of 29 patients of multi-primary esophageal carcinoma were collected .The diagnosis was made by dye-staining through gastroscopy and X-ray examination.Pathological examination after operation was analyzed.Three kinds of operations were used: 22 by radical resection, 5 by partial resection and 2 by surgical exploration. Results Twenty-one patients were diagnosed before operation,8 patients were diagnosed during and after operation. Sixty-seven foci and 6 early stage patients were found. The complications were found in 7 patients.No patient died during operation. Twenty-five patients were followed up. The follow up time was 7-36 months.1-year survival rate 77.8%,3-year survival rate 41.6%. Conclusion Routine X-ray examination of esophagus, and esophageal dye-staining and/or biopsy through endoscopy are important measures for early diagnosis of multi-primary esophageal carcinoma.Prompt surgery is advised.
出处
《中国胸心血管外科临床杂志》
CAS
2005年第2期82-85,共4页
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
