贲门癌切除可能性临床分析

AN CLINICAL ANALYSIS OF RESECTABILITY OF CARCINOMAOF CARDIA

作者通过随机抽取贲门癌单纯探查和手术切除各150例,从临床表现及X线征象进行对照分析,结合探查组未能切除原因,认为病程长、食量明显减少、体质弱提示病变已届晚期。上腹部持续性钝痛、剑突下深压痛、近期腰背痛为肿瘤外侵的临床征兆。影响切除可能性的X线征象为:侵及食管下端的贲门区巨大软组织影,胃气泡缩小且胃底壁厚度>1cm,胃脊椎间致密且距离>5cm,胃小弯缩短、成角改变。提出术前行贲门胃底三重造影、B超、CT检查对估计贲门癌切除可能性有一定的价值。

An case-control analysis which includes the clinical and radiolo gic signs, was observed in 300 cases of carcinoma of gasric cardia for resectability of tumours by random sampling. The causes of unresctability were discussed. The featues of late lesion are: the longer course, distinct decreasing food-intake and somatasthe-nia. The clinical and radiologic .manifestations of inoperable advanced tumour arerper -sistent upper abdomial dull pain and/or subxiphisternal tendernes on pressure, recent backache. large soft tissue (infiltrated the lower esophagus) shadow naerby the cardia, magenblase shrink and thickness of fundus ventriculi>1cm,dense opacity and the distance > 5cm between stomach and spine, angular deformity of ,the lesser curvature. The triple contrast radiography of the gastric cardia, B-mode ultrasonography and CT scan may be helpful for the prediction of resectability.