食管贲门癌术后内镜检查的价值

The value of endoseopy examination in Postoperative patients with Esophageal and Cardiac Cancer

我院子１９８４年７月至１９９２年３月，因食管贲门癌术后行内镜检查７３例。镜检结果：返流性食管炎２１例（２８．７７％）．其中包括６例金属打外露。食管复发癌１６例（２１．９５％），吻合口狭窄８例（１０．９５％），声带麻痹７例（９．５８％），食管异物６例（８．２０％），正常６例（８．２０％）。为了早期发现食管复发癌，建议术后２年以内每３－６个月行内镜检查一次，２年以后每年一次。

Tumor Hospital, Sun Yat-Sen University of Medical SciencesFrom July 1984 to march 1992,73 cases of Esophageal endoscopy examination were performedin postoperative patients with esophageal and cardiac cancer in our hospital. The diagnosis of endoscopy examination include 21 cases(28.77%)of returning esophagitis (6 cases of suturewire exposed),16 cases(21.92%)of recurrent cancer,8 cases(10. 95% )of suture thread end remained,7cases(9.58% )of vocal cord paralysis,6 cases(8.20%)of foreign body remained and nomal in6 cases(8.20%).In order to discover the recurrent cancer as early as possible.We suggested thatit is necessary to take endoscopy esamination for the postoperative patients in a frequence of onetime every 3 to 6 months in the firest and second year after the operation.After that,checking onetime in every year is also necessary.