贲门癌并发出血的外科治疗近期观察

目的探讨并发出血的贲门癌外科治疗的意义。方法２８例经纤维胃镜及组织病理学检查证实的贲门癌病人均有便血或（和）呕血症状；手术切除２７例，仅开胸探查１例，其中因大出血急诊手术者３例，结果本组无手术死亡；术后发生吻合口迟发大出血和吻合口狭窄各１例，均治愈。术后肿瘤ＴＮＭ分期属于Ｔ１ Ｎ０Ｗ０－Ｔ３Ｎ１Ｍ０者共２３例。术后近期生活质量满意。结论贲门癌易诱发上消化道出血；出血并不表示肿瘤一定有外侵和广泛淋巴结转移，应尽早明确手术指征，积极手术治疗。

Surgicl Treatment of the Patients with Cardia Carcinoma Companied by Upper Gastrointestinal Bleeding

Objective To evaluate the clinical significance of surgiccal treatmetn op cardia carcinoma companied by upper gastrointestinal bleeding. Method 28 cases of cardia carcinoma companied by bleeding were confirmed by digestive endoscopy and histopathology. Resection was performed in 27 patients and exploration only in 1 patient. Result There was no Operative or hospital death. There were low postoperative complications, an anastomosis excessive bleeding and an anastomosis stricture were cured.According to the TNM stage classification, the tumors of 23 patients belong to T1N0M0~ T3M1W0.The postoperative quality of life of all case was satisfying. Conclusion Cardia carcinoma may easily induce bleeding,the surgical procedure would be employed with these patients at once.