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驼背患者食管贲门癌的手术治疗

Thoracic Surgery in Kyphosis Patients with Esophageal and Gastric Cardiac Cancer

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【作者】 张铁流王晓蓉周鸿飞张超南周海鹏

【Author】 ZHANG Tie-liu,WANG Xiao-rong,ZHOU Hong-fei,et al(Yancheng TCM Hospital,Jiangsu Yancheng 224001,China)

【机构】 江苏省盐城市中医院

【摘要】 目的:为了探索驼背患者食管贲门癌的特点。方法:我们回顾分析了从1990年至2006年1627例食管贲门癌的手术资料,9例为驼背并发食管贲门癌。结果:脊柱后凸8例用cobb法测量其角度为40~60度,6例为圆弧性后凸,2例为轻度成角性后凸。其中9例(食管癌5例,贲门癌4例)剖左胸探查,手术切除7例,术后三月发生膈疝1例。结论:驼背食管贲门癌多属晚期,但由于脊柱后凸,切除率可提高,应当防范膈疝等并发症。

【Abstract】 Objective: In order to explore the characteristics of kyphosis patients with esophageal and gastric cardiac cancer.Methods:Among the 1627 patients of esophageal and gastric cardiac cancer reviewed between 1990 and 2006.There were 9 patients of kyphosis.Results:Of these,the angle of kyphosis measured with cobb was 40 to 60.Cambered kyphosis was 6 and a light angled kyphosis was 2.Conventional thoracotomy was used in 5 patients of esophageal cancer and in 4 gastric cardiac cancer.There were 7 patients resected by operation.One complicated diaphragm hernia after operation 3 months.Conclusion:The stage of kyphosis patients with esophageal and gastric cardiac cancer belongs to afternoon.The rate of resection increased since kyphosis.Diaphragm hernia should be keep away.

【关键词】 驼背食管贲门肿瘤外科治疗
【Key words】 KyphosisGastrointestinal NeoplasmsSurgery
  • 【分类号】R735
  • 【下载频次】31
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