食管、贲门癌2837例外科治疗分析 |
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引用本文: | 刘志才,王程虎,管福顺,吕荣增,申学昌,郭建庄,崔文涛,马中州,赵献军,连永丰,田秀连,元兰花,李林凤. 食管、贲门癌2837例外科治疗分析[J]. 中国医师杂志, 2001, 3(6): 431-433 |
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作者姓名: | 刘志才 王程虎 管福顺 吕荣增 申学昌 郭建庄 崔文涛 马中州 赵献军 连永丰 田秀连 元兰花 李林凤 |
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作者单位: | 河南省林州市肿瘤医院, |
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摘 要: | 目的 探讨提高食管癌的手术切除率及降低手术死亡率和提高远期效果及术后生存质量的措施。方法 对2837例外科治疗的食管,贲门癌患者的手术情况及随方结果进行分析。结果 本组手术切除率为98.7%,手术死亡率为0.92%,全组3年及5年生存率分别为48.9%和33.7%,肿瘤的分期,肿瘤浸润深度和淋巴结转移影响5年生存率,术后以颈淋巴结转移转移,且多发生在术后3年内,结论 重视“三早”,适当扩大切除范围,手术前后的综合治疗有利于提高术后远期生存率。
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关 键 词: | 食管癌 贲门癌 外科手术 治疗 |
文章编号: | 1008-1372(2001)06-0431-03 |
修稿时间: | 2000-10-30 |
Surgical Treatment for 2837 Cases of Cancers of the Esophagus and Gastric Cardia |
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Abstract: | Objective To reseach the way of rising resectable rate,reducing operative mortality,enhancing long-term effect and higher life quality in postoperation for cancers of esophagus and gastric cardia.Method Operation outcome of 2837 cases for cancers of esophagus and gastric cardia and followed-up were analysed.Results Overall resectability was 98.7%,and postoperative mortality was 0 92% in the group.Survival rates of 3 and 5 years were 48.9% and 33.7%,respectively.Factors affecting long-term survival were those of depth of tumor invasion and lymph nodes metastasis and oncologic staging.It was higher for cervical lymph nodes metastasis within 3 years after operation.Conclusions Early discovery and timely treatment,an appropriate enlarging resectable field and comprehensive therapies are the key to improve the long-term survival. |
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Keywords: | Cancer Esophagus Gastric cardia Surgical treatment |
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