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食管癌术前评价的主要目的之一是判断肿瘤能否切除。本文进一步分析可切除病例与支气管镜检查所见之间关系,并观察镜检阳性者的结局。本组属于Ⅱ型者63例,Ⅲ型者51例。Ⅱ型者一律进行探查,只要没有远处转移均尽量切除。结果在63例中15例有远处转移仅能作旁路手术。另48例肿瘤可以切除,包括根治切除32例、姑息切除16例。51例Ⅲ型在探查中发现有7例虽有浸润但尚可切除,其中4例尚且能根治,其余44例则只能作旁路手术。
One of the main purposes of preoperative evaluation of esophageal cancer is to determine whether the tumor can be removed. This article further analyzed the relationship between resectable cases and bronchoscopy findings, and observed the outcome of positive patients with microscopic examination. There were 63 cases of type II and 51 cases of type III. Type II persons are all subject to exploration, as long as there is no distant metastasis as far as possible. Results In the 63 cases, 15 cases had distant metastasis that could only be bypass surgery. The other 48 cases were resected, including 32 cases of radical resection and 16 cases of palliative resection. In 51 cases of type III exploration, 7 cases were found to be infiltrative but still resectable, of which 4 cases can still be cured, and the remaining 44 cases can only be bypass surgery.