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目的 :探讨食管癌术后复发的X线表现特点 ,并分析其原因。方法 :经X线钡餐造影诊断为食管癌术后复发病例共 45例 ,分析其X线表现特点 ;查阅病历 ,了解切除范围 ,探讨术后复发的原因。结果 :吻合口复发 3 4例 ,在钡餐造影片上表现为吻合口壁毛糙、僵硬 ,粘膜破坏 ,吻合口狭窄 ;胸胃复发 11例 ,在X线片上表现出外压改变 ,或充盈缺损 ,粘膜破坏。结论 :X线钡餐造影是诊断食管癌术后复发的重要手段之一。适当扩大手术切除范围可能是减少食管癌术后复发的较好办法。
Objective: To investigate the X-ray features of postoperative recurrence of esophageal cancer and analyze its causes. Methods: A total of 45 cases of postoperative recurrence of esophageal cancer were diagnosed by X-ray barium angiography. X-ray findings were analyzed. The medical records were reviewed to find out the extent of resection and to explore the causes of postoperative recurrence. Results: The anastomotic recurrence was found in 34 cases. The anastomotic stoma was rough, stiff and the mucosa was destroyed and the anastomotic stenosis was observed on the barium meal film. In the thoracic stomach recurrence, 11 cases showed external pressure change or filling defect on the X-ray film. damage. Conclusion: X-ray barium meal is one of the important methods to diagnose the recurrence of esophageal cancer. Appropriate to expand the scope of surgical resection may be a better way to reduce postoperative recurrence of esophageal cancer.