摘要
我科自1977年6月～1982年6月经手术切除随访的食管癌327例,贲门癌194例,其5、7、9年生存率分别为:20.64％、23.08％、23.29％和15.92％、11.03％、13.33％,并对影响食管、贲门癌切除术后长期生存有关因素进行了分析,其中以癌灶长度,侵犯范围,手术类型,病理临床分期等为主要因素。强调了早期发现、早期诊断、早期治疗及提高手术操作技巧,切除足够的病变长度,积极清扫区域淋巴结,以使食管贲门癌尽可能达到根治性切除,对提高食管贲门癌的远期效果,具有重要意义。
During June 1977 to June 1982,521 patients with esophageal (327 cases) or cardiac carcinoma (194 cases) were followed up after resection. Their 5-, 7-, and 9-year survival rates were 20.64%, 23.08%, 23.29% and 15.92%, 11.03%, 13.33% respectively. The factors that influence postoperative long-term survival were analyzed. The main in- fluencing factors were as follows:the length of lesion, the extent of tumor involvement, radicality of the surgical inter- vention ,and the clinico-pathologic staging of the disease. In order to achieve better result ,early detection,early diagnosis, early treatment, and improvement of surgical technic in terms of sufficient extent of involved portion and regional lymph nodes removed are urged.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1992年第6期447-450,共4页
Chinese Journal of Clinical Oncology
关键词
诊断
食管肿瘤
切除术
Esophago-cardiac carcinoma
Long-term survival
