| 胸段食管癌根治性手术切除范围研究 |
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| 引用本文： | 李嵩岳,徐伟莉.胸段食管癌根治性手术切除范围研究[J].中国基层医药,2004,11(10):1157-1158. |
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| 作者姓名： | 李嵩岳 徐伟莉 |
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| 作者单位： | 1. 453002,河南,新乡,新乡市第二人民医院胸心外科
2. 453002,河南,新乡,新乡市第二人民医院病理科 |
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| 摘 要： | 目的 探讨胸段食管癌根治性手术切除的长度和广度。方法 对1994年2月至1999年10月胸段食管癌320例的切除标本连续切片结果及淋巴结转移情况进行研究。结果 粘膜下漫润长度小于3．27cm，粘膜下癌栓扩散小于2．46cm；10．9％患者有多灶癌，多灶癌相距最长长度7．40cm，食管中段癌淋巴结呈上、下双向转移，食管下段癌主要下行转移至腹腔淋巴结。结论 食管癌可浸润全胸段食管和胸、腹腔淋巴结，胸段食管癌均作全胸段食管切除及纵隔和腹腔淋巴结清扫，有利于癌瘤彻底切除。
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| 关 键 词： | 胸段食管癌 根治性手术切除 腹腔 淋巴结 粘膜 转移 纵隔 广度 结论 情况 |
| 修稿时间： | 2004年5月17日 |
Surgical range of esphagus carcinoma invasion |
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| LI Song yue,XU Wei li.Surgical range of esphagus carcinoma invasion[J].Chinese Journal of Primary Medicine and Pharmacy,2004,11(10):1157-1158. |
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| Authors: | LI Song yue XU Wei li |
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| Institution: | LI Song yue,XU Wei li.Department of Thorax and Cardiology Surgery,The Second People's Hospital of Xinxiang,He'nan,453002,China |
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| Abstract: | Objective To explore depth and width of esphagus carcinoma invasion.Methods Resection preparations and metastasis,lymphtic knobs were studied in 320 cases of thorax esphagus carcinoma from February 1994 to Octomber 1999.Results Under mucous membrane invading distance is <3.27cm,and carcinoma embolus spreading is <2.46cm.Multiple carcinoma is 10.9%.The longest distance between two foci is 7.40cm.Conclusion Esophagus carcinoma can invade whole thorax esophgus and abdominal lymphatic knobs,esophagectomy and mediastinal and abdominal lymph node elimination should be taken in thoracic esophagus cancer in order to eradicate cancer. |
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| Keywords: | Thorax carcinoma of esophyus Thorax esophgus Esophagectomy |
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