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目的 对贲门癌术前正确分期 ,帮助选择手术入路方法 ,以提高贲门癌切除率。方法 应用B超对 81例贲门癌进行诊断、分期 ,与术后病理分期对照研究。结果 B超对贲门癌原发肿瘤的诊断率为 93 8% ,淋巴结显示率为 6 6 1% ,远处转移显示率为90 0 %。结论 B超对贲门癌的浸润深度、淋巴结转移情况及与周围组织关系的诊断明确 ,可作为贲门癌分期的初步评价 ,补充胃镜及吞钡的不足 ,对手术提供正确的入路方法。
Objective To correctly stage the cardiac cancer before surgery and help select the surgical approach to improve the cardiac cancer resection rate. Methods B-ultrasonography was used for the diagnosis and staging of 81 cases of cardiac cancer, and compared with postoperative pathological staging. Results The diagnostic rate of B-mode ultrasonography for primary cardiac cancer was 93.8%, lymph node display rate was 6.61%, and distant metastasis rate was 90.0%. Conclusion B-ultrasonography has a clear diagnosis of the invasion depth, lymph node metastasis and the relationship with the surrounding tissues of cardiac cancer. It can be used as a preliminary evaluation of cardiac cancer staging, supplementing the insufficiency of gastroscopy and swallowing, and providing a correct approach to surgery.