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对本院1982年～1995年间经手术治疗的165例贲门癌患者,分切除组121例与探查组44例作对比分析,探讨贲门癌切除可能性的有关因素,认为病期在半年以上,上腹持续钝痛,剑突下深压痛,上腰背部疼痛,饮食量减少一半,X 线见膈肌抬高及胃膈间距增大,胃内软组织块影,胃小弯成角变形,胃镜见胃内肿块长>5cm 或深溃疡直径>3cm 者,可判断为肿瘤不能切除。有癌性腹水或直肠窝触及癌种植性肿块者,则视为手术禁忌证。
For 165 cases of cardiac cancer treated surgically between 1982 and 1995 in our hospital, 121 cases in the resection group and 44 cases in the exploratory group were compared and analyzed to investigate the factors related to the possibility of cardiac cancer resection. The disease period was more than half a year. Abdominal dull pain, deep tenderness under the xiphoid process, pain on the upper back and lower back, half the amount of diet, elevation of the diaphragm and space between the epigastric area on the X-ray, soft tissue in the stomach, slight distortion of the stomach, and gastroscopy If the tumor is longer than 5cm or deep ulcer is >3cm in diameter, it can be judged that the tumor cannot be removed. Patients with carcinomatous ascites or rectal fossa touched cancerous implanted lumps are considered surgical contraindications.