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1 材料和方法1.1 材料 1990-01/1999-10我科经腹部采用消化道管腔式吻合器施行贲门癌根治术的患者356例.其中男271例,女85例,年龄30岁～74岁,平均53.6岁.病程<1 mo～26 mo.不同症状的发生率:吞咽不良75.5%,上腹胀痛46.7%,反酸暖气21.3%,黑便10.2%,呕血3.1%,其他2.1%.本组均经腹部手术,根治性切除率67.4%(240/356).病理:在356例切除患者中,腺癌占87.6%,粘液腺癌占11.6%,其他癌占0.8%.TNM 分期及各期比例:按国际胃癌 TNM 分期标准,N_1淋巴结
1 Materials and methods 1.1 Materials 1990-01/1999-10 A total of 356 cases of cardiac cancer were treated with a digestive tract cavity stapler in our department. Among them, there were 271 males and 85 females, aged 30 to 74 years. The average age was 53.6 years. The course of disease was between 1 month and 26 months. The incidence of different symptoms was poor swallowing 75.5%, abdominal pain, 46.7%, acid reflux heating 21.3%, melena 10.2%, vomiting blood 3.1%, and other 2.1%. In this group, abdominal surgery was performed. The radical resection rate was 67.4% (240/356). Pathology: Among 356 resection patients, adenocarcinoma accounted for 87.6%, mucinous adenocarcinoma accounted for 11.6%, and other cancers accounted for 0.8%. TNM stage and Proportion of each period: According to the international TNM staging criteria for gastric cancer, N_1 lymph node