高级搜索

食管癌行根治性放疗后复发的诊断和再手术指征的探讨

Study on the Indication Surgical Ttreatment and the Diagnosis of Recurrent Esophageal Carcinomasafter Curative Redioth

  • 摘要: 目的 探讨食管癌行根治性放疗后局部复发的诊断和再手术适应症的选择。 方法 48例患者本前X线钡餐检查显示:食管管壁僵硬伴明显狭窄21例,充盈缺损和/或伴多发浅小龛影25例,明显扭曲移位和巨大龛影2例。复发距再手术时间最短5周(再程放疗后3倒包括在内),最长48个月。 结果 48例中切除46例,切除率95.8%。术后并发症发生率为9.2%。死亡1例(术后死于肺部并发症),死亡率为2.1%。术后1、3、5年生存率分别为84.4%、35,6%、24.4%。 结论 食管癌根治性放疗后复发多发生于放疗后6-10个月。放疗后5周-6个月是再手术治疗的最佳时机。食管明显扭曲移位或巨大龛影,以及远处淋巴结转移而又不能作联合脏器切除者不宜手术治疗。

     

    Abstract: Objective To study of reurrent diagnosis and the indications surgical cancer after curative radiotherapeatics. Methods The 48 cases of esophagram was esophgostenosis and esophageal stiff in the 21 patients,The esophaguses filling defect with a little of multiple niches in the 25 patients,The 2 cases was a large of esophageal ulcer and esophagetopy.The 48 cases recurrent esophageal carcinomas after curative rediotherapy on operating in the meantime was the five weeks and the 48 months. Results In the 48 cases a radical esophagectomy the 46 patents,The overall resectability was 95.8%,and on after of the complication was 9.2%.The one postoperative deaths due to pulmonary of the complication,The operative mortality was 2.9%.The 1、3、5 years survival rates were 84.4%(38/45)、35.6%(16/45)、24.4%(11/45) respectively. Conclusion In the mean 6~10 the months of recurrent esophageal carcinomas after curative rediotherapy.The five of the weeks with the six months was sargical operatived the best time,on the recurrence esophageal carcinomas after curatived rediotherapy.But on the esophagography was a large of esophageal ulcer and esophagetopy,and the lymphaden were metastasis of a carcinoma,It the must dismissd from operatived treatment.

     

/

返回文章
返回