胃镜检查对食管下段贲门癌术前指导价值──80例回顾分析  

EVALUATION OF PREOPERATION ON THE LOWER ESOPHAGEAL-CARDIAC CARCINOMA WITH GASTROSCOPY──80 CASES RETROSPECTIVE ANALYSIS

作　　者：张亚琳[1] 魏洪臣[1] 赵治国[1] 

机构地区：[1]河南医科大学第二附属医院

出　　处：《内镜》1995年第4期198-199,共2页

摘　　要：８０例食管下段贲门癌胃镜检查与手术所见分析发现：（１）镜下病变长度短于术中所见；（２）镜下病变越长，周围器官转移率越高；（３）膈下器官转移多见腺癌，鳞癌少见，二者有显著性差异（Ｐ＜０．０１），膈上器管转移率二者无显著差异（Ｐ＞０．０５）。本文认为：食管下段贲门癌术前胃镜检查有助于手术切口定位和难易程度的预测。Comparing the finding of gastroscopy with those of operation in 80 patients with the lower esophageal-cardiac carcinoma. The results demonstrated that: 1)tumor length found by gastroscopy is shorter than that by operation; 2)the longer the tumer length, the higher rate the metastasis is; 3) the rate of metastasis of squamous epitheliomate is significantly higher than that of malignant adenoma in coeliac organs (p<0. 01)and there is no significant difference in the mediastinal organs between squamous epitheliomata and malignant adenoma(p>0. 05) .Authers considered that preoperative gastroscopy was valuable for selecting sites of operation and evaluating the complications of operation.

关 键 词：胃镜 贲门癌 胃肿瘤 外科手术 切口定位 

分 类 号：R735.205[医药卫生—肿瘤]