同期发生食管贲门双源癌16例诊治分析  

Diagnosis and treatment of 16 cases of concurrent cancers from esophagus and gastric cardia

作　　者：刘岩青 孟德强 王付龙 刘全印 

机构地区：[1]解放军第285医院普外科,河北邯郸056001

出　　处：《临床军医杂志》2013年第4期364-365,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨同期发生的食管贲门双源癌的外科治疗方法及疗效。方法 2002年8月—2010年7月,共收治同期发生的食管贲门双源癌16例,均为男性,年龄52～67(60.4±4.8)岁,均行手术治疗。采用左侧开胸切口行食管贲门双源癌切除术14例,胸腹联合切口行食管贲门双源癌切除2例,术中消化道重建用胃代食管胸腔内吻合术。结果本组围术期无死亡病例。术后发生阵发性心房纤颤2例,经治疗后缓解;肺部感染2例,给予抗感染治疗后治愈。术后切口感染2例,经换药痊愈。10例患者获得随访,1、3、5年生存率为100%、40%、20%。结论同期发生的食管贲门双源癌患者,经积极手术治疗,预后良好,生活质量明显提高。Objective To investigate the diagnosis and the treatment of concurrent cancers from esophagus and gastric cardia in the same patient. Methods A retrospective analysis was made through clinical data of 16 male patients （ aged 52 - 67 years, mean = 60.4 ＋ 4.8） with concurrent cancers from esophagus and gastric cardia in the same patient from August 2002 to July 2010. Thora- cotomy was performed in 14 patients, and thoracoabdominal incision was performed in the other two ones. Results No periopera- tive death occurred in the group. Two patients had post-operative paroxysmal atrial fibrillation, two patients had postoperative pneu- monia, and two patients had postoperative incision infection. All these postoperative complications were cured. Ten patients were followed up and their 1-, 3- and 5-year survival rate was 100% , 40% and 20% , respectively. Conclusion Timely surgical treatment of concurrent cancers from esophagus and gastric cardia is safe and effective, and helps to improve the patients＇ prognosis and quality of life.

关 键 词：食管肿瘤 胃贲门肿瘤 双源癌 外科手术 

分 类 号：R735.1[医药卫生—肿瘤]