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With support catheter insertion technique for treatment malignant and benign stenotic disease is an effective method.

食管—胃通道狭窄采用支撑管置入技术是治疗良恶性狭窄性疾病的有效方法。

Stipa S%Di Giorgio A%Ferri M Surgical treatment of adenocarcinoma of the cardia SURGERY , 1992,8

卢晓明%陈道达经腹正中切口显露食管裂孔的技巧中国实用外科杂志, 1997,3

Abstract〕 Objective To study the biological features of esophageal submucosal squamous cell carcinoma.

摘要〕 目的研究食管粘膜下鳞癌的生物学特性。

Objective To evaluate the diagnostic and therapeutic value of ultrasonic endoscope for submucosal tumors in esophagus.

探讨超声内镜在食管黏膜下肿瘤诊断和治疗中的价值。

Objective To investigate the significance of miniprobe endoscopic ultrasonography in the endoscopic therapy of esophageal submucosal tumor.

目的 探讨微探头内镜超声对食管黏膜下肿瘤行内镜治疗的指导意义。

objective to evaluate the diagnostic and therapeutic value of ultrasonic endoscope for submucosal tumors in esophagus.

作者单位:214002 江苏无锡,无锡市第二人民医院消化科探讨超声内镜在食管黏膜下肿瘤诊断和治疗中的价值。

We consider that it is better to choose abdominal median incision plus left ribs resection in patients with upper gastric cancer in which subphrenic esophageal invasion is under 2cm of length and the function of heart or lung is severely damaged.

作者认为,该入路暴露良好,创伤小,痛苦少,适宜于胃癌膈下食管下端受侵2cm以下以及心肺功能严重受损不宜开胸的患者。

Results: In 32 cases of thyroid neoplasm, there were 22 cases with uneven density, 19 cases with unclear border, 15 cases with irregular necrosis and 12 cases with cystisc degeneration. CT scan showed that the cases of invasion of trachea, esophagus, carotid sheath and swollen lymph nodes of neck and supraclavicle were 14, 6, 5 and 8 respectively.

结果:32例甲状腺肿瘤的主要CT表现为密度不均22例,边界不清19例,不规则坏死15例,囊性变12例,CT判断甲状腺肿瘤侵犯气管、食管、颈动脉鞘和颈部或锁骨上淋巴结肿大转移分别为:14例、6例、5例和8例。

Methods Emergency endoscope ex-amination were carried out in20massive hemorrhage clients after gastrectomy and esophagectomy,after exposed and washed the bleeding part by cold0.9%NS,1∶10000adrenaline and hypertonic saline were injected in perifocal sub-mucosa.After stop bleeding and before move back the endoscope,spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

对食管、胃切除术后引起大出血的患者行急症内镜检查,用冰冻生理盐水100ml+去甲肾上腺素8mg反复冲洗,暴露出血部位后在病灶周围黏膜下注射1∶10000肾上腺素及高渗盐水,无出血后,退镜前于出血部位喷洒云南白药及凝血酶,防止再次出血。

Methods Emergency endoscope examination were carried out in 20 massive hemorrhage clients after gastrectomy and esophagectomy, after exposed and washed the bleeding part by cold 0.9% NS, 1:10000 adrenaline and hypertonic saline were injected in perifocal sub mucosa. After stop bleeding and before move back the endoscope, spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

对食管、胃切除术后引起大出血的患者行急症内镜检查,用冰冻生理盐水lOOml+去甲肾上腺素8mg反复冲洗,暴露出血部位后在病灶周围黏膜下注射1:10000肾上腺素及高渗盐水,无出血后,退镜前于出血部位喷洒云南白药及凝血酶,防止再次出血。

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