摘要
本文通过贲门胃底三重造影检查对贲门癌手术径路上进行了一些探索,并取得满意的效果。该检查可以较准确的显示贲门癌病变范围。特别提出腹段食管受浸润在1CM以内则经腹手术,腹段食管受浸润超过1CM以上则选用经胸手术。并提出贲门区块影在5CM以内或胃底的 厚度在1CM以内,小弯侧有气带影,手术切除率较高,反之则切除率较低。该检查若见腔外块影与周围组织相连等征象时则提示癌瘤已浸润周围组织,手术有困难。所以手术探查要慎重,应避免不必要的创伤。
The triple contrast radiography was used for the selection of the operative approach of gastric cardia cancer. This method can better reveal the extent of the cancer invasion. When the length of abdominal esophagus had been invaded by cancer less than I cm the operation approach may be transabdominal, However, if the invasion is longer than 1 cm, the approach must be transthoracic. If the soft tissue shadows of the cardiac area is less than 5 cm, or the thickness of the fundus is less than I cm with aerated shadow in the small curvature, the resectability is high, if the invasive extent is wider, the resectability will be low. If the soft tissue shadows protruded outside gastric wall, connecting with surrounding structures, that means the carcinoma has infiltrated extensively, the operation will be difficult, so , the operation should be conducted cautiously.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1990年第2期119-121,共3页
Chinese Journal of Cancer
