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患者,男,60岁。1989年3月7日入院。主诉;经常性腹痛半年,伴返酸,食欲低下,食后腹胀,日渐消瘦,曾有过黑便。查体除上腹部有压痛外,其它均正常。胃肠X线检查:胃窦体部前壁可见2.5cm×3.5cm腔内龛影,X线诊断为胃癌。纤维胃镜检查:胃窦区前壁大弯侧可见3.0cm×3.0cm溃疡型肿物,表面凸凹不平,上覆黑灰色脓苔,质地脆 相似文献
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Between December 1979 and December 1992, 15 patients with hypopharyngeal and cervical esophageal cancer were treated surgically. Total pharyngolaryngectomy and partial cervical esophagectomy were performed and the defects were reconstructed with cervical skin flaps in 2 cases. The free jejunal segments were used in 6 cases following total pharyngolaryngectomy and cervical esophagectomy, cervical esophagectomy (larynx preserved) was repaired with free jejunal graft in 1 case. The pharyngogastric anastomosis following total pharyngolaryngoesophagectomy were performed in 4 cases, one of them, used pectoralis major myocutaneous flap for resection of soft tissue and skin of the neck. The pectoralis major myocutaneous flap and forearm free flap in 1 case respectively were used to reconstruct the deficits of total laryngectomy and partial pharyngectomy, and partial pharyngolaryngectomy. In our series, 1, 3, 5 years survival rates were 73.3% (11 / 15), 50% (6 / 12) and 55.6% (5 / 9), respectively. The advantage 相似文献
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淋巴转移严重影响结肠癌的生存率。国内文献报告,结肠癌的五年生存率为55.9%,而无淋巴结转移者为68.4%,有转移者仅27.4%,HeiichiHijo报告,结肠癌无淋巴结转移时五年生存率为89%,当肠旁淋巴结发生转移时则降至60%,生存率随淋巴结受累站别的增加而下降。但是,对结肠癌淋巴转移规律的研究尚少,尤其在指导根治手术方面尚有许多不明之处,而国内尚未见这方面的报告。因此,我们对结肠癌淋巴转移进行了研究,试图通过大量检取淋巴结,从结肠癌的临床病理学特点上寻找结肠癌淋巴转移规律,本文作初步报告。 相似文献
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本文收集自1975年至1985年10年间我院施根治术的355例胃远端癌病人,按手术方法分为两个阶段组,即1981年4月底以前201例施R_1~ 至R_2之间手术者为普通根治组(下称普根组)、1981年4月底以后154例按日本胃癌处理规约规定的16组淋巴结中第2、10组及部份11组未加清扫者,称选择性R_3组(下称SR_3组)。两组除25例失访按死亡计算外,均随访5年,随访率为93%。 相似文献
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