食管肿瘤移动度的测定在其诊断及治疗中的地位

The Position of Measuring the Moving in the Diagnosis and Treatment of E- sophageal Carcinoma

目的 通过动态观察食管肿瘤的移动度,判断食管肿瘤的外侵程度,为术前评价食管肿瘤切除性提供一个准确可靠的方法。方法 钡餐透视下动态观察食管肿瘤的移动度。结果 食管肿瘤不能移动的,说明肿瘤外侵并固定,手术不能切除;移动0～0.5cm者为Ⅰ度,0.5～1.0cm为Ⅱ度,Ⅰ或Ⅱ度者提示肿瘤有外侵或周围淋巴结转移,或与主动脉及肺门有浸润性粘连,不能手术切除或切除后易有肿瘤残留;而移动1.0～2.0cm为Ⅲ度,2.0cm以上为Ⅳ度。Ⅲ度以上者,食管肿瘤基本无外侵,手术均可根治性切除。结论 (1)食管肿瘤移动度与肿瘤外侵程度基本成负相关。即移动度越大,外侵程度越小。(2)测定食管肿瘤移动度可作为食管肿瘤可否根治性切除的重要指标之一,较其它方法更为直观、准确、经济。

Objective To observe the moving of the esophageal carcinoma and to judge the invasive degree of the esophageal carcinoma gives a correct method of evaluating the possibility of the radical resection before operation. Methods To observe moving the esophageal carcinoma by barium meal. Results If the esophageal carcinoma can't move, it indicates that has invaded and fixed so it can' t be resected radically. The moving that 0-0.5cm of the esophageal carcinoma is degree I , that of 0.5 - 1. 0cm is degree II , that of 1.0 - 2. Ocm is degree III, that of more than 2. 0cm is degree IV. Degree I or II indicates it has invaded the aortic, the hilus pulmonis or other organs, so it can't be resected radically. Over the degree III indicated that the esophageal carcinoma has not invaded , so it can be resected radically. Conclusion (1) The moving is negative to the invasion the esophageal carcinoma. The more the moving the esophageal carcinoma, the less invasion of it. (2) Measuring the moving of the esophageal carcinoma as the important indication of the radically resection is a correct economical, direct method.