患者男,65岁,食管中段鳞癌,既往30年前因"胃溃疡"行"胃大部切除术",合理的治疗方案为A.食管癌切除,食管、空肠弓上吻合术B.食管癌切除,...

作者: rantiku 人气: - 评论: 0
问题 患者男,65岁,食管中段鳞癌,既往30年前因"胃溃疡"行"胃大部切除术",合理的治疗方案为
选项 A.食管癌切除,食管、空肠弓上吻合术 B.食管癌切除,食管、食管弓上吻合术 C.食管癌切除,结肠间置代食管术 D.食管癌切除,人造食管间置术 E.食管癌切除,颈部食管旷置,永久胃造瘘术
答案 C
解析 :本题考察临床知识面。食管癌切除术后最常用的代胃器官是胃,其次是结肠,空肠由于血管弓的原因无法上提到主动脉弓上水平。

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