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贲门胃底癌是胸外科常见疾病,由于其特解剖特点,常规钡餐贲门胃底X线检查,对其病变长度、范围、特别是小弯侧肿瘤的胃外浸等,难以提供较确切的X线征象。加上患者吞咽困难出现较晚,临床症状不典型,较其它上消化道肿瘤切除率明显减低。如何提高切除率,减少不必要的手术创伤,是目前探讨的一个课题。我院近几年来共行三重造影检查贲门胃底癌42例,其中38例行术治疗。现将三重造影时有无软组织肿块阴影和手术中所见情况对比分析如下。
Gastric fundocarcinoma is a common disease in thoracic surgery. Due to its special anatomical features, conventional bowel examination and gastric fundus X-ray examination, it is difficult to provide a more precise X for its lesion length, range, and especially for extravaginal leaching of small curved side tumors. Line sign. In addition, patients with dysphagia appear late, clinical symptoms are not typical, and the resection rate is significantly lower than other upper gastrointestinal cancers. How to increase the resection rate and reduce unnecessary surgical trauma is a subject currently being explored. In recent years, our hospital has performed triple radiography in the detection of 42 gastric cardia cancers, of which 38 were treated with surgery. The contrast between the shadow of the soft tissue mass and the condition seen during the operation with triple contrast is as follows.