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食管癌术前胆囊收缩功能测定的临床意义——附200例分析

CLINICAL SIGNIFICANCE OF PREOPERATIVE CONTRACTIBILITY OF GALLBLADDER IN 200CASES OF ESOPHAGEAL CARCINOMA

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【作者】 杨捷生卢诗杰陈玉泉杨卫平翁准陈于平庄志伟杨熙鸿

【Author】 YANG Jie-sheng LU Shi-jie CHEN Yu-quan YANG Wei-ping WENG Zhun CHEN Yu-pingZHUANG Zhi-wei YANG Xi-hong (First Hospital of Shantou University Medical College Shanlou, 515031 )

【机构】 汕头大学医学院附属一院汕头大学医学院附属一院 汕头 515031汕头 515031汕头 515031

【摘要】 食管癌术前B超测定胆囊收缩功能200例,Ⅰ、Ⅱ期病例的胆囊收缩功能良好率为90.9%(10/11),Ⅲ、Ⅳ期病例则仅为6.3%(9/142)和 0(0/47)。作者认为:绝大部分Ⅲ、Ⅳ期病例术前胆囊收缩功能障碍,可能与迷走神经受癌肿和/或转移的淋巴结压迫、浸润有关。术前测定胆囊收缩功能,可为术前估计临床病理分期和制定治疗方案提供有效的参数。

【Abstract】 The contractibility of gallbladders of 200 cases of esophageal carcinoma patients was determined by B-type ultrasonic visualization preoperatively. Among the 200 cases, the favorable rate of cholecystic contratibility was 90.9% (10/11) in the stages Ⅰ and Ⅱ cases, but in the stages Ⅲ and Ⅳ cases the rates were only 6.3% (9/142) and O (0/47), respectively. It is believed that in most of stages Ⅲ and Ⅳ cases, the disturbance of contractibility possibly relates to the vagus nerve compressed or infiltrated by the tumor and/ or metastatic lymph node. The determination of preoperative contractibility of gallbladder may provide a valuable parammter for the clinicopathologic staging and designation sof treatment

  • 【文献出处】 癌症 ,Chinese Journal of Cancer , 编辑部邮箱 ,1992年04期
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