CAJ | 학술논문

目的：探讨术中快速冰冻在食管癌手术中对切缘范围选择的指导意义。方法回顾该院205例食管癌患者的临床病理资料，对食管癌的临床病理特点进行分析。其中术中食管切缘送快速冰冻切片46例。结果205例食管癌手术病例中，上切缘癌变9例，占4.39%，下切缘癌变5例，占2.4%，共14例，占6.83%。其中术中快速冰冻切片残端阳性4例。结论食管癌手术切缘癌灶残留并非少见。我们推荐术中常规将食管癌切缘送快速冰冻，从而决定食管癌适宜的切除长度。
목적：탐토술중쾌속빙동재식관암수술중대절연범위선택적지도의의。방법회고해원205례식관암환자적림상병리자료，대식관암적림상병리특점진행분석。기중술중식관절연송쾌속빙동절편46례。결과205례식관암수술병례중，상절연암변9례，점4.39%，하절연암변5례，점2.4%，공14례，점6.83%。기중술중쾌속빙동절편잔단양성4례。결론식관암수술절연암조잔류병비소견。아문추천술중상규장식관암절연송쾌속빙동，종이결정식관암괄의적절제장도。
Objective To discuss the guiding significance of intraoperative frozen section in judging cut edge of esophageal carcinoma. Methods Review the clinical and pathological data of 205 cases with esophageal carcinoma in our hospital, Analysis the clinical and pathological feature of esophageal carcinoma. 46 cases of esophageal resection margin were sent to intraoperative frozen section. Results In the 205 cases, the rates of the cancer at the upper , lower were 4.39%(9/205), 2.4% (5/ 205),a total of 6.83%(14/205). 4 cases were find residual cancer in 46 cases with introperative frozen section. Conclusion The residual cancer in esophageal carci- noma is common. Intraoperative frozen section is helpful to judge the cut edge of esophageal carcinoma and should be conventional.