【摘要】 本文对346例胃贲门癌术前胃肠钡餐X线摄片(GI)、B型超声波及纤维胃镜检查以及临床症状和体征进行了回顾性分析,探讨了它们与手术切除率的关系.分析表明若GI片上病变未侵及胃小弯切迹;B超检查肿块<8cm和无腹腔内转移;胃镜检查病变范围<5cm;临床上无腹块扪及、无腰背疼痛及食量明显下降者手术切除率高,反之则低.本文也对手术切口的选择进行了探讨.更多还原

【Abstract】 The preoperative findings inclusive of GI, B-ultrasound, fiberogastroscopy and clinical manifestationsof 346 cases of gastro-cardiac carcinoma were analysed for associations with resectability. It was shown that the following yielded higher resectability rate,viz : when incisura angularis was not jnvolved on GI film,the tumor mass was less than 8cm in diameter on B-ultrasound,no abdominal metastasis was found, the lesion was less than 5cm in diameter on gas-troscopy,there was no clinically palpable abdominal mass,no waist or back pain,nor markedly decreased food intake.更多还原