目的 :探讨影响贲门癌切除率的因素。方法 :根据患者常见的临床症状及体征 ,并结合X线钡餐造影及纤维内窥镜检查进行综合性分析判别。结果 :6 6例患者中伴有吞咽不利和 (或 )梗噎者 5 2例 ,切除 49例 ,切除率为 94.2 3 % ;食量减少者 16例 ,切除 11例 ,切除率为 6 8.75 % ;食量明显减少者 9例 ,切除 4例 ,切除率为 44.44% ;上腹部压痛者 18例 ,切除 15例 ,切除率为 83.33% ;上腹部持续性钝痛者 13例 ,切除 6例 ,切除率为 46 .15 % ;剑突下深压痛者 12例 ,切除 7例 ,切除率为5 8.33% ;后腰背部沉痛者 13例 ,切除 6例 (均为姑息性切除 ) ,切除率为 46 .15 %。结论 :食量减少 ,上腹部压痛 ,剑突下深压痛为内在性癌浸润征象 ,其手术切除率较高。食量明显减少 ,后腰背部沉痛 ,上腹部持续性钝痛者为癌外侵转移征象 ,其切除率较低 Objective: To explore the factors affecting the resection rate of cardiac cancer. Methods: According to the common clinical symptoms and physical signs of patients, combined with X-ray barium meal imaging and fiber endoscopy, comprehensive analysis and discrimination. RESULTS: Of the 66 patients, 52 were associated with dysphagia and/or dyscrasia, 49 were resectioned, the resection rate was 94.27%, 16 were deficient in food intake, and 11 were removed. The resection rate was 68.75%. The food intake was significantly reduced in 9 cases, 4 cases were removed, the resection rate was 44.44%, 18 cases of upper abdominal tenderness, 15 cases of resection, the resection rate was 83.33%, 13 cases of persistent dull pain in upper abdomen, and 6 cases of resection. 46.15 %; deep tenderness under the xiphoid process in 12 cases, removal of 7 cases, the resection rate was 5.83%; 13 cases of back pain on the back, removal of 6 cases (all were palliative resection), the resection rate was 46. 15 %. Conclusion: The decrease in food intake, tenderness in the upper abdomen, deep tenderness under the xiphoid process are the signs of invasive carcinoma, and the surgical resection rate is high. Significantly reduced food intake, lower back and back pain, persistent dull pain in the upper abdomen for the invasion and metastasis of cancer, the lower the resection rate