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目的探讨食管多源癌的诊断及手术治疗方法。方法29例食管多源癌患者经食管X线钡餐造影检查及纤维胃镜下碘染色确诊,并经手术切除标本的病理检查证实。29例中行根治性切除22例,姑息性切除5例,探查2例而未能切除。结果术前确诊21例,术中及术后确诊8例;发现病灶67个,早期病例6例;肿瘤的手术切除率75.9%(22/29),无手术死亡,发生并发症7例。术后随访25例,随访时间7个月～3年。1年生存率77.8%,3年生存率41.6%。结论对食管癌患者常规进行上消化道X线钡餐造影检查,应用内镜下碘染色活检方法可提高诊断率,降低漏诊率,并进行积极的外科治疗,有望改善治疗效果。
Objective To investigate the diagnosis and surgical treatment of esophageal polygenic cancer. Methods Twenty-nine patients with esophageal polycancer were confirmed by esophagogasophageal barium meal angiography and iodine staining under fiber endoscopy, and confirmed by pathological examination of the resected specimens. In the 29 cases, 22 cases were removed by radical resection, 5 cases by palliative resection and 2 cases by exploration. Results 21 cases were diagnosed preoperatively, 8 cases were diagnosed intraoperatively and postoperatively, 67 cases were found and 6 cases were early stage. The tumor resection rate was 75.9% (22/29). There was no operative death and 7 complications occurred. Twenty-five patients were followed up for 7 months to 3 years. The 1-year survival rate was 77.8% and the 3-year survival rate was 41.6%. Conclusion Conventional upper gastrointestinal X-ray barium meal examination in patients with esophageal cancer, endoscopic iodine staining biopsy method can improve the diagnostic rate and reduce the rate of missed diagnosis, and active surgical treatment, is expected to improve the therapeutic effect.