食管多源癌与上消化道重复癌的外科治疗  

Surgical treatment of multi-primary esophageal carcinoma and esophageal cancer associated with gastric tumer

作　　者：王可兵[1] 陈建华[1] 史冬森[1] 郭志祥[1] 吴伟[1] 

机构地区：[1]合肥市第一人民医院胸外科,230061

出　　处：《安徽医学》2011年第11期1862-1864,共3页Anhui Medical Journal

摘　　要：目的探讨食管多源癌与上消化道重复癌的外科治疗方法及效果。方法 11例食管多源癌与上消化道重复癌经胃肠造影及胃镜检查后均行不同方式的手术治疗,术后行病理检查,并行随访。结果术前确诊9例,2例发生漏诊。未能手术切除1例,手术切除率90.9%(10/11)。围手术期死亡1例。术后随访9例,1年生存9例,3年生存4例。结论对食管癌患者术前应行多手段的仔细检查,以避免多源癌及重复癌发生漏诊,并积极行外科治疗,以改善治疗效果。Objective To study the operative technique and operative effects for multi-primary esophageal carcinoma and esophageal cancer associated with gastric tumer.Methods The data of 11 patients multi-primary esophageal carcinoma and esophageal cancer associated with gastric tumer were collected.The diagnosis was made by gastroscopy and X-ray examination.All patients were used different kinds of operations.Pathoiogical examination after operation was analyzed.Results Nine patients were diagnosed before operation,2 patients were mis-diagnosed preoperation.One patient was treated by surgical exploration.The rate of surgical ablation was 81.8%.One patient died during the peroperative period.Nine patients were followed up.1-year survival rate was 100%,3-year survival rate 44.4%.Conclusion Routine X-ray examination of esophagus and gastroscopy are important for diagnosing the multi-primary esophageal carcinoma and esophageal cancer associated with gastric tumer before operation.Prompt surgery should be advised.

关 键 词：食管癌 多原发性 外科手术 

分 类 号：R735[医药卫生—肿瘤]