同时发生的食管胃重复癌的外科治疗  

The Treatment of Synchronous Esophageal Cancer Associated with Gastric Cancer

作　　者：欧阳励[1] 

机构地区：[1]南昌大学第四附属医院胸心外科,江西南昌330003

出　　处：《赣南医学院学报》2009年第2期194-195,共2页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的∶探讨同时发生的食管、胃重复癌的发病机制、诊断、手术治疗及效果,以期提高对食管、胃重复癌的重视和认识水平。方法:对我院同时发生的食管、胃重复癌8例的临床资料、选择合理手术治疗方式进行综合分析。结果∶术后发生胸内吻合口瘘1例,经食管支架植入保守治疗痊愈,全组无死亡病例。食管、胃重复癌手术治疗可取得与单纯性食管癌手术同样的手术疗效。结论:提高对同时性食管、胃重复癌的认识,争取早期诊断,避免漏诊误诊,根据具体情况及时选择合理的手术方式治疗,可提高远期生存率。Objective： To investigate the nosogenynosogenesis, diagnosis, surgical treatment and effect of the synchronous esophageal cancer associated with gastric cancer, attach importance to esophageal cancer and gastric carcinoma. Method： We collect clinieal data of eight synchronous esophageal cancer associated with gastric cancer cases in our hospital, select a reasonable surgical treatment and analyse comprehensively. Results： 1 ease with postoperative fistula of intrathoracic esophageal anastomotic leak was healed by con- servative treatment of planting stent into esophagus, none of the whole cases is dead. The curative effect of the synchronous esophageal cancer associated with gastric cancer is same as that of simple esophageal cancer surgery. Conclusion： It may improve long-term sur- vival by improving the knowledge on the synchronous esophageal cancer associated with gastric cancer, trying for early diagnosis and avoiding misdiagnosis, choosing a reasonable and timely surgical treatment in accordance with specific conditions.

关 键 词：食管肿瘤 胃肿瘤 多原发性 外科手术 

分 类 号：R735.1[医药卫生—肿瘤] R735.2[医药卫生—临床医学]