摘要
目的探讨贲门癌并发出血的外科治疗意义。方法108例贲门癌并出血,其中93例经电子胃镜及组织病理学检查证实,15例以上消化道大出血实施剖腹探查确诊。手术切除101例,7例行探查术。结果本组无手术死亡病例。术后发生吻合口迟发大出血1例,吻合口狭窄1例,均治愈。手术切除者近期生活质量满意。结论贲门癌易诱发上消化道出血,出血并不表示肿瘤一定有外侵和广泛淋巴结转移。应尽早明确手术指征,充分做好术前准备,积极手术治疗。
Objective To investigate the clinical significance of surgical treatment for cardiac cancer accompanied by upper gastrointestinal bleeding. Methods The clinical and pathological data of 108 cases of cardiac cancer,among whom 93 cases confirmed by digestive endoscopy and histopathology suffered from vomiting blood or stool bleeding and 15 cases with massive upper gastrointestinal bleeding underwent emergency surgery, were analyzed retrospectively. Resection was performed in 101 patients and exploration only in 7 patients. Results There was no operative or hospital death. Postoperative complications, including one case of anastomosis stricture and one case of anastomosis delayed massive bleeding,were all cured. Recent life quality was satisfactory in patients underwent resection.Conclusions Cardiac cancer can easily induce upper gastrointestinal bleeding. However, it does not mean that the tumor must have extensive invasion and lymph nodes metastasis. The operative indication should be specified, every preparation should be made and active surgical treatment should be performed as early as possible.
出处
《中国基层医药》
CAS
2005年第7期851-852,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
贲门癌
出血
围手术期
治疗
Neoplasm
Cardia
Upper gastrointestinal bleeding
Surgery
