72例贲门癌手术探查分析

目的；探讨术前较准确评估晚期贲门癌手术切除的可能性．以降低晚期贲门癌手术探查风险。方法：回顾性分析72例晚期贲门癌手术探查患者术前的临床表现、影像学检查、病理类型及术中情况。结果：术中见72例患者贲门肿瘤均有周围脏器浸润，其中侵及2个以上脏器者16例（22．22％）。钡餐检查32例肿瘤浸润胃小弯，术中探查41例侵及胃小弯，诊断符合率为78．05％；64例B超检查提示贲门部肿瘤，与术中探查符合率为88．89％；CT扫描贲门癌外侵诊断符合率为88．89％；胸、腹腔淋巴结肿大诊断符合率为100％。结论：病程、肿瘤的大小、疼痛症状、X线钡餐表现及病理类型对贲门癌患者术前肿瘤可切除性的评估起决定性作用。

Clinical analysis for exploratory operation of cardiac cancer

Objective:To explore preoperational evaluation for cardiac cancer and reduce the exploratory operation rate. Methods:There were seventy two patients with advanced stage cardiac cancer received exploratory operation. These cases were analyzed retrospectively by data including patients preoperative clinical manifestation, clinical stage, pathogical types and intraoperative condition. Results: Intraoperative findings all of cases that tumor invades adjacent structures and 16 cases invaded organs beyond one which took up percent 22. 22. Barium meal examination findings 32 cases had hint lesser curvature of stomach obvious invasion and intraoperative findings 41 cases had obvious invasion lesser curvature of stomach, diagnostic accordance rate percent 78.05; Ultrasonic examination finding 64 cases hint cardiac tumor, diagnostic accordance rate percent 88. 89; Computerized tomography finding invasion of cardiac tumor diagnostic accordance rate percent 88. 89, thoracic cavity and abdominal cavity's' lymphadenectasis diagnostic accordance rate percent 100. Conclusion:It is decisive effect for preoperational evaluation for cardiac cancer which are depth of invasion, neoplasm's' diameter, pain symptom, X-ray findings and pathological types.