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目的 提高贲门失弛症并发食管、贲门癌的诊断和治疗水平。方法 回顾 12例贲门失弛症伴发食管、贲门癌的诊断治疗和病理。结果 12例贲门失弛症伴发食管、贲门癌病例中 ,手术治疗 4例 ,其中 2例生存超过 3年。 1例于手术后半年死亡 ,1例术后不足半年 ,放化疗 6例 ,均于半年至一年半内死亡。结论 1.食管、贲门癌易被贲门失弛症的症状所掩盖。 2 .Heller手术并不能降低食管癌的发生率 ,应每年随访 1次。3.贲门失弛症伴发食管癌发生比率较高 ,也是食管癌的高发人群。4 .术后病人如有症状早就诊可以早期发现。 5 .同时发生癌和异时发生癌的机会相近。Heller术前应常规内镜检查排除食管贲门癌以防漏诊。
Objective To improve the diagnosis and treatment of esophageal and cardiac cancer complicated by achalasia. Methods 12 cases of achalasia associated with esophageal and cardiac cancers were diagnosed and treated. Results Among 12 cases of esophageal and cardiac cancer associated with achalasia, 4 cases were treated surgically, of which 2 cases survived for more than 3 years. One patient died in the first half of the operation, one patient had less than six months postoperatively, and 6 patients received radiochemotherapy. All patients died within half a year to a year and a half. Conclusions 1. Esophageal and cardiac cancers are easily covered by the symptoms of achalasia. 2. Heller surgery does not reduce the incidence of esophageal cancer and should be followed up once a year. 3. Accompanied with a higher incidence of esophageal cancer, is also a high incidence of esophageal cancer. 4. Early detection of early postoperative symptoms can be found early. 5. There is a similar chance of developing cancer at the same time and at the same time. Heller should exclude esophageal and cardiac cancer before routine surgery to prevent missed diagnosis.