发生于胃切除后的食管癌

• 作 者: 陈利铭
• 出 处: 福建医药杂志
• 发表日期: 1990年03期
• 关键词: 胃切除术 食管鳞状细胞癌 消化性溃疡 全胃切除 下段食管 间隔时间 鳞癌 食管痛 食管炎 发病年龄

食管癌与胃切除的关系,意见不一。作者于1965～1986年收治原发性食管鳞状细胞癌548例,其中手术切除329例,保守治疗219例,两者既往有胃切除史者分别为13例(4.0％)和11例(4.7％)。在这24例胃切除中,因消化性溃疡而手术者16例,胃癌而手术者8例;术后至发现食管癌的间隔时间分别为13.4±7.9年和5.8±4.2年,差异显著。但与作者同时统计的消化性溃疡、胃癌和原发性食管癌等平均发病年

The relationship between esophageal cancer and gastrectomy differs. The authors treated 548 cases of primary esophageal squamous cell carcinoma from 1965 to 1986, of whom 329 were surgically removed and 219 were conservatively treated. There were 13 cases (4.0%) and 11 cases (4.7 cases) of previous history of gastrectomy. %). Among these 24 cases of gastrectomy, 16 cases were operated for peptic ulcer, and 8 cases were for gastric cancer. The time interval between the operation and finding of esophageal cancer was 13.4±7.9 years and 5.8±4.2 years, respectively. The difference was significant. However, the average age of onset of peptic ulcer, gastric cancer, and primary esophageal cancer was also calculated at the same time as the author.