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简介：摘要目的探讨经腹胃底贲门癌手术的方法及可行性。方法回顾分析37例胃底贲门癌经腹手术的临床资料。结果37例均无吻合瘘或手术死亡，2例出现切口感染，1例膈下积液，均经临床治疗治愈出院。结论经腹胃底贲门癌手术降低并发症，减少痛苦，恢复快。

简介：[摘要 ]目的：探讨贲门胃底切除后余胃食管直接吻合术治疗残胃贲门癌的效果，以供参考。方法：选择 2012 年 4 月 -2014 年 3 月残胃贲门癌患者 76 例作为研究对象，随机分组。 A组接受贲门全胃切除后空肠代胃术治疗， B组接受贲门胃底切除后余胃食管直接吻合术治疗。术后随访 1 年，对比两组患者手术并发症发生率和 1 年生存率的差异性。结果：对比两组手术并发症发现， B组明显低于 A组，差异具有统计学意义（ P＜ 0.05）。对比两组术后 1 年生存率发现，两组间差异无统计学意义（ P＞ 0.05）。结论：贲门胃底切除后余胃食管直接吻合术创伤小、并发症少，在今后的临床工作中可在严格掌握适应症的前提下予以推广应用。

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简介：摘要目的探讨经腹手术治疗胃底贲门癌的可行性和临床应用价值。方法对胃底贲门癌经腹手术治疗62例患者的临床资料进行回顾分析。结果术后并发症发生率为22．6％，其中呼吸道感染７例，左膈下感染２例，吻合口出血１例，切口感染４例。术后病理上下切线均无癌残留。随访56例，平均随访4.5（２～８）年，术后１年、３年、５年生存率分别为81.3％（47／56）、73.2％（41／56）、53.5％（30／56）。无吻合口瘘及手术死亡等严重并发症发生。结论经腹手术治疗胃底贲门癌能够切除足够的食管和淋巴结，对患者呼吸循环系统影响小，可降低手术风险，减少肺部并发症发生。

简介：摘要目的探讨全胃切除空肠p袢代胃术治疗胃底贲门癌的临床应用价值，提高患者生存质量。方法从本院收治的胃底贲门癌患者中选取57例符合研究条件的患者作为研究对象，采用单盲抽样方法抽取其中30例作为实验组，采用全胃切除空肠p袢代胃术治疗，其余患者作为对照组，采用标准Roux-en-Y吻合术式治疗，并收集两组患者的相关数据进行对比，包括手术时间、术中的出血情况、排空时间、饮食的次数、饮食量以及并发症的发生率。结果通过对比我们发现，实验组与对照组的手术所需时间以及手术中出血量的差异无统计学意义(p>0.05)，实验组患者的饮食次数、排空时间、饮食量均显著优于对照组（p<0.05）。而实验组的并发症发生率也显著低于对照组（p<0.05）。结论采用全胃切除空肠p袢代胃术治疗胃底贲门癌具有很好的疗效，可以提高患者的生存治疗，有较高的临床应用价值。

简介：摘要目的观察应用斜行套叠再造胃底His角胃食管吻合术治疗贲门癌术后并发症（返流，吻合口瘘最好加一个吻合口狭窄进行分析）发生情况。方法选取2007年2月年—2011年7月我院收治的300例贲门癌患者，按随机数字表法随机分为观察组和对照组各150例，观察组患者应用斜行套叠再造胃底His角胃食管吻合术进行治疗，对照组给予传统吻合术（吻合器吻合+浆肌层加固）进行治疗，观察两组患者术后并发症发生情况。结果观察组患者术后并发症发生率显著低于对照组（χ2=6.241，P<0.01），有统计学意义。结论斜行套叠再造胃底His角治疗贲门癌明显降低了术后并发症，临床疗效满意，值得在基层医院推广、应用。

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简介：摘要目的研究分析胃底贲门癌X线漏诊原因。方法此次研究的对象是选择2014年2月—2015年2月35例胃底贲门癌漏诊患者。将其临床资料进行回顾性分析。结果35例漏诊原因分别为12例患者大口吞钡；10例患者胃泡气体不足；8例患者未进行空腹检查；5例患者为粘膜聚集。结论胃底贲门癌的疾病特点比较复杂，漏诊原因较多，采取多种措施，可以提高诊断率。

简介：摘要目的分析全胃切除空肠P袢代胃术对胃底贲门癌的治疗效果。方法选取胃底贲门癌患者62例，随机分为两组，对照组30例行常规近侧胃切除术，观察组32例行全胃切除空肠P袢代胃术，比较两组治疗情况。结果两组手术时间、术中出血量组间无显著差异（P＞0.05）；观察组术后并发症发生率15.6%明显低于对照组50.0%（P＜0.05），术后3个月随访，观察组胃排空时间及每次饮食量均大于对照组，每天饮食次数明显少于对照组（P＜0.05）。术后12个月对照组生存率70.0%，观察组生存率93.8%；两组差异显著（P＜0.05）。结论全胃切除空肠P袢代对胃底贲门癌有显著治疗价值，可提高患者生存率，并发症发生风险低，值得推广。

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简介：摘要目的探讨全胃切除空肠P袢代胃术治疗胃底贲门癌临床效果。方法选取本院2015年1月～2017年6月140例胃底贲门癌患者，按照自愿原则分为研究组和对照组，研究组予以全胃切除空肠P袢代胃术治疗，对照组则应用Roux-en-Y吻合术进行治疗，分析对比两组患者死亡率、5年生存率和并发症发生率。结果两组患者死亡率差异无统计学意义（P>0.05），研究组5年生存率显著高于对照组，差异有统计学意义（P<0.05），并发症发生率低于对照组，差异存在统计学意义（P<0.05）。结论全胃切除空肠P袢代胃术对治疗胃底贲门癌效果明显，并发症少，值得临床应用。

简介：目的探讨腹腔镜根治性全胃切除治疗胃底贲门癌的临床疗效和可行性.方法回顾性分析2007年4月至2009年4月福建医科大学附属协和医院收治的176例胃底贲门癌行根治性全胃切除患者的临床资料,其中腹腔镜全胃切除81例（LATG组）,开腹全胃切除95例（OTG组）.比较两组患者术中及术后、淋巴结清扫、并发症发生率及病死率情况.计量资料采用t检验,计数资料采用Х^2检验.结果两组患者均成功完成手术.LATG组和OTG组患者术中出血量分别为（98±84）ml和（339±245）ml,术中输血例数分别为3例和19例,术后肛门排气时间分别为（3.9±1.1）d和（5.0±1.6）d,术后住院时间分别为（13±5）d和（15±5）d,其差异有统计学意义（t=4.16,Х^2=6.82,t=4.57,2.83,P〈0.05）.LATG组和OTG组患者平均淋巴结清扫数目分别为（28±12）枚和（29±11）枚,其差异无统计学意义（t=0.42,P＞0.05）;按肿瘤浸润深度进行分层分析,LATG组和OTG组患者T1、T2、T3期平均淋巴结清扫数目分别为（21±8）、（25±7）、（29±11）枚和（29±12）、（31±9）、（28±11）枚,其差异无统计学意义（t=1.53,1.90,0.65,P＞0.05）.LATG组和OTG组患者术后并发症发生率和病死率分别为11%（9/81）、0和19%（18/95）、1%（1/95）,其差异无统计学意义（Х^2=2.07,1.18,P＞0.05）.结论腹腔镜根治性全胃切除能达到与开腹手术相同的根治效果,且具有安全、术后恢复快等优点.

简介：摘要目的分析螺旋CT与钡餐造影对胃底贲门癌的诊断效果。方法纳入62例胃底贲门癌患者，均经手术病例确诊，选自我院2012年3月-2016年12月，数字表法随机分对照组、研究组，均31例，分别提供螺旋CT、钡餐造影检查，以统计学软件SPSS21.0分析两组诊断结果。结果研究组在黏膜病变、胃泡内软组织肿块、恶性龛影方面的检出率较对照组高，差异显著（p＜0.05）；但研究组胃壁增厚检出率较对照组低，差异显著（p＜0.05），而两组食管下端变窄检出率无差异（p＞0.05）。结论就胃底贲门癌患者而言，钡餐造影诊断效果最佳，但联合钡餐造影、螺旋CT可以进一步准确判断临床分期，便于指导临床用药。

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简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  　　 Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. result Among 40 cases of cancer in the lower gastric fundus and cardia, 27 cases were ulcerative type (67.50%), 27 cases were mucosa deformation around niches, 24 cases were irregular barium spots, 3 cases were oval or round barium spots, 8 cases were circular dike; 4 cases were flat type (10.00%), 2 cases were root like barium stained area and 2 cases were cloud like barium stained area; 9 cases were mass type (22.50%); the detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of patients with cancer in the lower gastric fundus and cardia, it is helpful to choose the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  　 Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. Results among 40 cases of cancer in the lower gastric fundus and cardia, 27 were ulcerative type (67.50%), 27 were mucosa deformation around niches, 24 were irregular barium spots, 3 were oval or round barium spots, 8 were circular levees, 4 were flat type (10.00%), 2 were root like barium stained area and 2 were cloud like barium stained area, 9 were mass type (22.50%). The detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05) ) Conclusion in the clinical diagnosis of patients with cancer in the lower gastric fundus and cardia, it is helpful to choose the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  Abstract: Objective To observe and analyze the diagnostic effect of X-ray in patients with carcinoma of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with gastric cardia cancer in our hospital were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were retrospectively analyzed, and the X-ray diagnostic characteristics and significance were analyzed. result Among the 40 patients with carcinoma of gastric fundus and cardia, 27 cases (67.50%) were ulcerative type, 27 cases were mucosa deformation around niche, 24 cases were irregular barium spot, 3 cases were oval or round barium spot, 8 cases were ring dike; 4 cases (10.00%) were flat type, 2 cases were root like barium staining area and 2 cases were cloud like barium staining area; 9 cases (22.50%) were mass type; the detection rate of ulcer type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of patients with carcinoma of gastric fundus and cardia, it is helpful to choose supine half standing left anterior oblique position in X-ray diagnosis. The main X-ray signs of carcinoma in gastric fundus and cardia are ulcer type. It is necessary to distinguish them from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. result Among 40 cases of cancer in the lower gastric fundus and cardia, there were 27 cases of ulcerative type (67.50%), 27 cases of mucosa deformation around niches, 24 cases of irregular barium spots, 3 cases of oval or round barium spots, 8 cases of circular dike; 4 cases of flat type (10.00%), 2 cases of root like barium stained area and 2 cases of cloud like barium stained area; 9 cases of mass type (22.50%); the detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of cancer in the lower gastric fundus and cardia area, it is helpful to select the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia area are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.