渭南市第一医院普外一科|微创“小切口” 成功解决双癌手术！
<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-tools="135编辑器" data-id="134544"><section style='margin: 10px auto;'><section style='padding-left: 20px;margin-bottom: -10px;'><section style='width: 20px;'><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 36.531 30.47" style='display: block;'><path data-name="“ 拷贝" style='fill: #033fce;fill-RULE: EVENODD;' d="M58.981,2015.37v-15.43h-5.7l7.835-15.03H53.282l-9.565,16.77v13.69H58.981Zm19.13,0v-15.43h-5.8l7.937-15.03H72.31l-9.463,16.77v13.69H78.11Z" transform="translate(-43.719 -1984.91)"></path></svg></section></section><section><section style='background-color: rgb(245, 249, 255);padding: 1em;'><section data-autoskip="1" style='line-height: 1.75em; letter-spacing: 1.5px; color: rgb(55, 55, 55); background-color: transparent;'><section style='text-indent: 2.1875em;line-height: 2em;margin-bottom: 16px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>近期，渭南市第一医院外一科来了一位77岁的金大爷，他自称往日吃东西时出现不明原因的吞咽困难，饮水缓解，刚开始他没在意，可这种梗阻感越来越强烈，随后在家人的陪同下来到外一科门诊就诊。</span></section><section style='text-indent: 2.1875em;line-height: 2em;margin-bottom: 16px;'><span style='text-indent: 2.1875em;background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>经主管医生李保成检查患者颈胸腹部影像图片，</span><span style='color: rgb(0, 82, 255);'><strong style='text-indent: 2.1875em;background-color: transparent;'><span style='background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>发现患者肿瘤外膜相对完</span></strong><strong style='text-indent: 2.1875em;background-color: transparent;'><span style='background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>整</span></strong></span><span style='text-indent: 2.1875em;background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>，与周围血管、神经有一定间隙，上缘距离喉部仍有一定距离，身体其它器官未见转移，</span><span style='color: rgb(0, 82, 255);'><strong style='text-indent: 2.1875em;background-color: transparent;'><span style='background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>仍有根治性切除的机会，但是右肺下叶占位穿刺活检示：右肺下叶支气管肺泡癌</span></strong></span><strong style='text-indent: 2.1875em;background-color: transparent;'><span style='background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>。</span></strong><span style='text-indent: 2.1875em;background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>入院后完善相关检查及筛查，无手术禁忌症。</span></section><section style='text-indent: 2.1875em;line-height: 2em;margin-bottom: 16px;'><span style='background-color: transparent;caret-color: red;font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'></span></section><section style='text-indent: 2.1875em;line-height: 2em;margin-bottom: 16px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>手术难度系数大。切除任何一个都是大手术，更何况两个一同切除，难度绝对是1+1＞2。我院普外科对两例同期双原发食管癌、肺癌实行手术治疗，史无前例。</span></section><section style='text-indent: 2.1875em;line-height: 2em;margin-bottom: 16px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>经过张渭兵主任和主管医生李保成的仔细评估和各项检查结果综合分析，深思熟虑后决定进行根治术。</span><strong><span style='font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;color: rgb(0, 82, 255);'>患者于10月18日在全麻下行腹腔镜辅助下颈、胸、腹三切口食管癌根治术+胸腔镜下右肺上叶楔型切除+胸膜黏连松解术。</span></strong><span style='font-size: 16px;letter-spacing: 2px;font-family: 宋体, SimSun;'>术后由我们的精心照顾，77岁金大爷康复出院。</span></section><p style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;'></span></p><p style='text-align:center;'><span style='font-size: 16px;font-family: 宋体, SimSun;'>术后恢复期的照片</span></p></section></section></section></section></section><section data-role="outer" label="edit by 135editor"><section data-role="paragraph"><section data-tools="135编辑器" data-id="124019"><section style='margin: 10px auto;'><section style='display: flex;justify-content: center;'><section><section style='display: flex;justify-content: flex-end;padding-right: 14px;'><section style='display: flex;align-items: center;'><section style='flex-shrink: 0;margin-left: 5px;'><section style='width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;'><br></section></section><section style='flex-shrink: 0;margin-left: 5px;'><section style='width: 8px;height: 18px;border-radius: 15px;background-color: rgb(255, 202, 66);border-width: 2px;border-style: solid;border-color: rgb(255, 255, 255);overflow: hidden;'><br></section></section></section></section><section style='background-color: rgb(64, 131, 255);font-size: 16px;color: rgb(255, 255, 255);text-align: center;letter-spacing: 1.5px;padding: 10px 25px;margin-top: -7px;'><strong data-brushtype="text">接下来带你了解食管癌</strong></section></section></section></section></section></section></section></section><section data-role="paragraph"><p><span style='font-size: 15px; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; letter-spacing: 0.544px; white-space-collapse: preserve;'>我国的食管癌负担较重，在2020年，全世界预计新发食管癌60万余例，死亡54.4万例，其中近半数发生于我国。食管癌所致伤残调整寿命年（DALYs）在我国所有癌症中位列第四，男多于女，发病年龄多在40岁以上，由于慢性咽炎的较早期症状跟食管癌的症状非常相似，所以经常会被患者误认为一般性疾病，延误了最佳治疗时机。因此确诊时，患者多为晚期，因此食管癌的预后目前仍较差。</span><br></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'>那么，食管癌早期的症状表现有哪些？</strong><strong style='outline: 0px;letter-spacing: 0.544px;visibility: visible;'>如何检查和有效预防？</strong></span></p><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center; visibility: visible;'><span class="wxart_image" wx-style='display:inline-block;outline: 0px;visibility: visible !important;width: 494px !important;'></span><span style='outline: 0px;color: rgb(0, 0, 0);font-size: 15px;letter-spacing: normal;caret-color: rgb(255, 0, 0);font-family: "Helvetica Neue", Helvetica, "Hiragino Sans GB", "Microsoft YaHei", Arial, sans-serif;text-align: justify;visibility: visible;'></span></p><section data-role="title" data-tools="135编辑器" data-id="110561" style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;'><section style='margin: 10px auto;outline: 0px;text-align: center;visibility: visible;'><section style='outline: 0px;display: flex;justify-content: center;align-items: flex-end;visibility: visible;'><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;visibility: visible;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 93.71 22.73" style='visibility: visible;'><g style='visibility: visible;'><rect y="10.86" style='fill: rgb(114, 193, 244);visibility: visible;' width="77.77" height="1"></rect><polygon style='fill: rgb(114, 193, 244);visibility: visible;' points="76.27,19.56 72.52,19.56 77.99,3.16 81.75,3.16 "></polygon><polygon style='fill: rgb(255, 174, 40);visibility: visible;' points="86.19,22.73 80.55,22.73 88.07,0 93.71,0 "></polygon></g></svg></section><section style='margin-right: 8px;margin-left: 8px;outline: 0px;font-size: 28px;color: rgb(255, 174, 40);font-style: italic;line-height: 22px;visibility: visible;'><strong style='outline: 0px;visibility: visible;'>0</strong><strong data-original-title="" title="" style='outline: 0px;visibility: visible;'>1</strong></section><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;visibility: visible;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 94.71 22.73" style='visibility: visible;'><g style='visibility: visible;'><rect x="16.18" y="10.86" transform="matrix(-1 5.716437e-11 -5.716437e-11 -1 110.893 22.7254)" style='fill: rgb(114, 193, 244);visibility: visible;' width="78.53" height="1"></rect><polygon style='fill: rgb(114, 193, 244);visibility: visible;' points="17.44,3.16 21.2,3.16 15.72,19.56 11.97,19.56 "></polygon><polygon style='fill: rgb(255, 174, 40);visibility: visible;' points="7.52,0 13.16,0 5.64,22.73 0,22.73 "></polygon></g></svg></section></section><section style='margin-top: 6px;outline: 0px;font-size: 16px;letter-spacing: 1px;color: rgb(11, 67, 209);visibility: visible;'><span style='outline: 0px;font-size: 17px;visibility: visible;'><strong data-brushtype="text" style='outline: 0px;visibility: visible;'>食管癌的早期信号</strong></span></section></section></section><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;visibility: visible;'><span style='outline: 0px;font-size: 15px;visibility: visible;'>1. 食管内异物感</span></strong><br style='outline: 0px;visibility: visible;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;visibility: visible;'>因某一次吃了粗糙的食物而将食管擦伤，类似细小的鱼骨头，或者疑为误将异物吞下而存留在食管内，有类似如米粒或者蔬菜碎片贴附在食管上，吞咽不下，无疼痛，即使不作吞咽动作，也仍有异物存在的感觉。异物感的部位多与食道的病变位置相吻合。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>2. 咽部干燥感和紧迫感</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>常感到下咽食物不顺畅，并有轻微疼痛，有点干燥、发紧的感觉。特别是在吞咽干燥或粗糙食物时，这种干燥、发紧的感觉更为明显。另外，这种早期症状的发生与情绪波动有关。脾气暴躁的也会导致气管道发紧，影响食欲，引发食道癌。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>3. 吞咽哽噎感</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>在此病的早期阶段，由于病变常表现为局部小范围食管粘膜充血、肿胀、糜烂、表浅层溃疡和小斑块病变，当食物通过时，就会出现吞咽不适或吞咽不顺的感觉。<br data-filtered="filtered" style='outline: 0px;'></span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>如病情再进一步发展，就会出现梗噎感，多半是因为吞服类似烙饼或其他不易彻底嚼碎的食物时才能发现。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>4. 食物通过缓慢并有停留感</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>常有食管口变小，食物下咽困难并有停留的感觉。这些症状只出现在下咽食物时，进食之后自行消失，且与食物的性质没有关系，甚至在饮水时也有烧灼的疼痛。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>5.胸骨后有闷胀不适感</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>但这种只能隐约地感到胸部不适，既不能指出不适部位，也难以叙述不舒服的具体情况，并</span><span style='outline: 0px;font-size: 15px;letter-spacing: 0.544px;'>感到肚下为烧灼样刺痛，轻重不等，多出现在下咽食物时，食后减轻或消失，也有的为持续性隐痛。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>6. 胸骨后疼痛感</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>这种表现在早期食道癌病人中比较多见。常在咽下食物时胸骨后有轻微疼痛，并能感觉得到疼痛的部位。疼痛的性质可为烧灼样痛、针刺样痛、牵拉摩擦样痛。<br data-filtered="filtered" style='outline: 0px;'></span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>疼痛的轻重与食物的性质有关，吞咽粗糙、热食或有刺激性的食物时，疼痛比较重；</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>吞服流质、温热的食物时，疼痛比较轻。咽食物时疼痛，进食后又有所减轻甚至消失。这种症状大多可用药物治疗，暂时获得缓解，但数日或数月后病情又会复发，且反复出现，存在较长时间。</span></p><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center;'><span class="wxart_image" wx-style='display:inline-block;outline: 0px;width: 641px !important;visibility: visible !important;'></span></p><section data-role="title" data-tools="135编辑器" data-id="110561" style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px;'><section style='margin: 10px auto;outline: 0px;text-align: center;'><section style='outline: 0px;display: flex;justify-content: center;align-items: flex-end;'><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 93.71 22.73"><g><rect y="10.86" style='fill:#72c1f4;' width="77.77" height="1"></rect><polygon style='fill:#72c1f4;' points="76.27,19.56 72.52,19.56 77.99,3.16 81.75,3.16 "></polygon><polygon style='fill:#ffae28;' points="86.19,22.73 80.55,22.73 88.07,0 93.71,0 "></polygon></g></svg></section><section style='margin-right: 8px;margin-left: 8px;outline: 0px;font-size: 28px;color: rgb(255, 174, 40);font-style: italic;line-height: 22px;'><strong style='outline: 0px;'>02</strong><strong data-original-title="" title="" style='outline: 0px;'></strong></section><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 94.71 22.73"><g><rect x="16.18" y="10.86" transform="matrix(-1 5.716437e-11 -5.716437e-11 -1 110.893 22.7254)" style='fill:#72c1f4;' width="78.53" height="1"></rect><polygon style='fill:#72c1f4;' points="17.44,3.16 21.2,3.16 15.72,19.56 11.97,19.56 "></polygon><polygon style='fill:#ffae28;' points="7.52,0 13.16,0 5.64,22.73 0,22.73 "></polygon></g></svg></section></section><section style='margin-top: 6px;outline: 0px;font-size: 16px;letter-spacing: 1px;color: rgb(11, 67, 209);'><span style='outline: 0px;font-size: 17px;'><strong data-brushtype="text" style='outline: 0px;'>食管癌早期筛查</strong></span></section></section></section><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>1.筛查对象</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>根据我国国情及食管癌的流行病学特征，符合第1条和2-6条中任一条者应列为食管癌高危人群，建议作为筛查对象：</span></p><blockquote data-type="2" data-url="" data-author-name="" data-content-utf8-length="90" data-source-title="" style='outline: 0px; color: var(--weui-FG-1); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px;'><section style='outline: 0px;'><section style='outline: 0px;'><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>1）<span style='outline: 0px;'>年龄超过</span>40岁；</span></strong></span></p><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>2）<span style='outline: 0px;'>来自食管高发区；</span></span></strong></span></p><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>3）<span style='outline: 0px;'>有上消化道症状；</span></span></strong></span></p><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>4）<span style='outline: 0px;'>有食管癌家族史；</span></span></strong></span></p><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>5）<span style='outline: 0px;'>患有食管癌前疾病或癌前病变者；</span></span></strong></span></p><p style='outline: 0px;vertical-align: inherit;letter-spacing: 0.544px;font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;'><span style='outline: 0px;'><strong style='outline: 0px;'><span style='outline: 0px;font-family: 微软雅黑;'>6）<span style='outline: 0px;'>具有食管癌的其他高危因素（吸烟、重度饮酒、头颈部或呼吸道鳞癌等）；</span></span></strong></span></p></section></section></blockquote><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>2. 筛查方法</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>（1）食管脱落细胞学检查</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>食管脱落细胞学检查 是食管癌早期诊断的首选方法，经过实践证明在食管癌高发区进行大面积普查切实可行，总的准确阳性率可达90%以上，该方法简便，受检查痛苦小，假阳性率低。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>（2）X线钡餐造影</span><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>该方法能早期发现食管黏膜、结构及功能的变化，能够帮助较早判断食道癌前病变。且痛苦小，易耐受。</span></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><strong style='outline: 0px;'><span style='outline: 0px;font-size: 15px;'>（3）金标准：内镜检查</span></strong><br style='outline: 0px;'></p><p style='margin-top: 1em; outline: 0px; letter-spacing: 0.544px; white-space-collapse: preserve; border-width: 0px; border-style: initial; border-color: initial; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 16px; vertical-align: baseline; cursor: text; counter-reset: list-1 0 list-2 0 list-3 0 list-4 0 list-5 0 list-6 0 list-7 0 list-8 0 list-9 0; color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; visibility: visible; line-height: 1.75em;'><span style='outline: 0px;font-size: 15px;'>该方法已成为检查上消化道疾病（食管癌、胃癌等）常规的临床诊断、术后随访、疗效观察的最可靠方法。在早期食管癌中，内窥镜的检出率可达85%以上。</span></p><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; text-align: center;'><span class="wxart_image" wx-style='display:inline-block;outline: 0px;width: 632px !important;visibility: visible !important;'></span></p><section data-role="title" data-tools="135编辑器" data-id="110561" style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px;'><section style='margin: 10px auto;outline: 0px;text-align: center;'><section style='outline: 0px;display: flex;justify-content: center;align-items: flex-end;'><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 93.71 22.73"><g><rect y="10.86" style='fill:#72c1f4;' width="77.77" height="1"></rect><polygon style='fill:#72c1f4;' points="76.27,19.56 72.52,19.56 77.99,3.16 81.75,3.16 "></polygon><polygon style='fill:#ffae28;' points="86.19,22.73 80.55,22.73 88.07,0 93.71,0 "></polygon></g></svg></section><section style='margin-right: 8px;margin-left: 8px;outline: 0px;font-size: 28px;color: rgb(255, 174, 40);font-style: italic;line-height: 22px;'><strong style='outline: 0px;'>03</strong></section><section style='outline: 0px;width: 60px;line-height: 0;flex-shrink: 0;'><svg version="1.1" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" x="0px" y="0px" viewBox="0 0 94.71 22.73"><g><rect x="16.18" y="10.86" transform="matrix(-1 5.716437e-11 -5.716437e-11 -1 110.893 22.7254)" style='fill:#72c1f4;' width="78.53" height="1"></rect><polygon style='fill:#72c1f4;' points="17.44,3.16 21.2,3.16 15.72,19.56 11.97,19.56 "></polygon><polygon style='fill:#ffae28;' points="7.52,0 13.16,0 5.64,22.73 0,22.73 "></polygon></g></svg></section></section><section style='margin-top: 6px;outline: 0px;font-size: 16px;letter-spacing: 1px;color: rgb(11, 67, 209);'><span style='outline: 0px;font-size: 17px;'><strong data-brushtype="text" style='outline: 0px;'>食管癌规范治疗</strong></span></section></section></section><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; color: rgb(34, 34, 34); visibility: visible; line-height: 1.75em;'><span style='color: rgb(62, 62, 62);font-size: 15px;letter-spacing: 0.544px;text-indent: 0em;'>需要注意的是，这些症状并不是食道癌的特有信号，它们也可能在食道炎症或者其它食道疾病的时候出现。 因此，出现上述症状，要尽早到医院就诊，排除食管癌和其他食管疾病。 </span></p></section><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; line-height: 1.75em; text-align: justify; text-indent: 0em;'><span style='outline: 0px; color: rgb(62, 62, 62); font-size: 15px; letter-spacing: 0.544px; text-decoration-style: solid; text-decoration-color: rgb(62, 62, 62);'><br style='outline: 0px;'></span></p><p style='outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.544px; line-height: 1.75em; text-align: justify; text-indent: 0em;'><strong><span style='outline: 0px; font-size: 15px; letter-spacing: 0.544px; text-decoration-style: solid; text-decoration-color: rgb(62, 62, 62); color: rgb(0, 82, 255);'>早期食管癌治疗效果较好，患者5年生存率可达90%，10年生存率可达60%。因此早发现、早诊断、早治疗非常重要。家族一级亲属中有食管癌、喜欢吃腌渍食品、喜欢吃烫嘴的饭菜、喜欢喝功夫茶、长期抽烟喝酒的朋友，特别是男性，应从45岁甚至更早年龄开始，每年参加健康体检，有条件的要进行胃镜检查，以便早发现、早诊断、早治疗。</span></strong></p></section><p style='display: none;'><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 一定要保护自已的身体 多注意身体健康啊！ 多注意身体健康啊！ 多注意身体健康啊！ 健康最重要呀{:14_515:}{:14_515:} 一定要保护自已的身体 多注意身体噢！ 提高诊疗水平 一定要保护自已的身体
页:
[1]
2