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食管癌和贲门癌外科治疗的2019例临床分析

Surgical treatment of esophageal and cardiac cancer—an analysis of 2 019 cases

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【作者】 吴明拜张铸张力为伊力亚尔夏合丁张昌明朱辉李德生库尔班

【Author】 WU Ming-bai, ZHANG Zhu, ZHANG Li-wei, YILI YAR·Xia-he-ding, ZHANG chang-ming, ZHU Hui, LI De-sheng, KUR BanDepartment of Thoracic Surgery, First Affiliated Hospital, Xinjiang Medical University, and Xinjiang Institute of Esophagus Caner, Urumuqi 830000, P.R.China

【机构】 新疆医科大学第一附属医院胸外科新疆食管癌研究所新疆医科大学第一附属医院胸外科新疆食管癌研究所 新疆乌鲁木齐830000新疆乌鲁木齐830000

【摘要】 我院1978年1月20日~2003年5月12日对新疆不同民族的2019例食管癌和贲门癌患者施行了手术治疗。其中,食管癌1350例,贲门癌669例。少数民族患者占1138例(56·4%)。2019例中总切除率为90·3%(1824/2019)。食管癌切除率为92·3%(1246/1350);贲门癌切除率为87·0%(582/669)。术后发生并发症174例(8·6%)。其中,胸内吻合口瘘34例(1·9%,34/1824),手术死亡34例(1·7%,34/2019)。初步研究结果提示,新疆不同民族发病情况不同,哈萨克族患病率最高。病例的选择及术前分期对手术能否达到根治切除甚为重要。

【Abstract】 From January, 1978 to May, 2003, 2 019 patients with esophageal or cardiac cancer among different nationalities in Xinjiang were surgically treated in our hospital. There were 1 350 cases of esophageal cancer and 669 cases of cardiac cancer, and 1 138 patients were minority nationality, accounting for 56.4% of this group. The resection rates of this 2 019 cases was 90.3 %(1 824/2 019). The resection rates of esophageal cancer and cardiac cancer were 92.3%(1 246/1 350) and 86.9%(582/669), respectively. Morbidity rate was 8.6 % (174/ 2 019) , and 1.9% (34/1 824) of patients had anastomotic leakage. Perioperative death occurred in 1.7% (34/2 019) of cases. Conclusion the incidence of esophageal and cardiac cancer is varied in different nationalities in Xinjiang, and Kasark has the highest incidence of them. Radical resection or not is closely related to the patient choice and preoperative classification.[

  • 【文献出处】 中华肿瘤防治杂志 ,Chinese Journal of Cancer Prevention and Treatment , 编辑部邮箱 ,2006年05期
  • 【分类号】R735
  • 【被引频次】8
  • 【下载频次】147
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