上消化道多原发癌的诊断与治疗  

Diagnosis and Treatment for Multi-Primary Cancer of Upper Digestive Tract

作　　者：李勇[1] 陈荣林[1] 王晨[1] 陶勇[1] 芮玉峰[1] 陈后鹏[1] 李长青[1] 

机构地区：[1]安徽省芜湖市第二人民医院胸心外科,241000

出　　处：《实用全科医学》2005年第6期499-500,共2页Applied Journal Of General Practice

摘　　要：目的探讨上消化道多原发癌的诊断与治疗方法。方法对应用吞钡造影及内镜检查、并经手术和病理确诊的8例上消化道多原发癌的临床资料进行回顾性分析。结果术前确诊7例,确诊率88%。8例共有癌灶19处,全部手术切除,全组无手术死亡,术后辅以放、化疗,效果满意。结论对上消化道癌患者应常规进行钡餐造影和内镜检查,提高诊断率。积极进行外科手术,辅以放、化疗,可提高治疗效果。Objective To study the diagnosis and treament of multi - primary cancer of the upper digestive tract. Methods The data of 8 cases with Multi - Primary cancer of the upper digestive tract diagnosed accurately by X - ray, gastroscopy, pathological examination, and therapy, were analyzed retrospectively. Results Seven cases were diagnosed confirmedly before operation（88% ）. All cases received operative therapy and radiotherapy or chemotherapy after operation. No operative death occurred. The therapeutic effect was satisfactory. Conclusions Routine X - ray examination and biopsy by endoscope are important measures for the diagnosis of multi - primary cancer of the upper digestive tract. The operative therapy combined with chemotherapy or radiotherapy should improve the curative effects efficaciously.

关 键 词：上消化道多原发癌 钡餐造影 内镜检查 5-氟脲嘧啶 化学治疗 手术治疗 

分 类 号：R735[医药卫生—肿瘤]