对１９８６年１０月至１９９３年１０月间行根治性食管癌手术的２７８例病例，进行临床病理资料分析。其中男性２３９例．女性３９例，有淋巴结转移者１０９例，转移率为３９％，共检出淋巴结１６８０个，阳性２８０个，阳性率为１６．７％。所有病例按有无淋巴结转移分组，分析肿瘤长度、浸润深度及分化程度与淋巴结转移的关系．为术前、术后治疗的选择及预后判断提供依据。结果显示肿瘤长度与淋巴转移无相关关系．而浸润深度越深、分化程度越低，淋巴转移发生率就越高。 For 278 cases undergoing radical esophageal cancer between October 1986 and October 1993, clinical pathological data were analyzed. Of these, 239 were male. Among 39 females, 109 had lymph node metastases and the metastatic rate was 39%. There were 1680 lymph nodes detected and 280 positive, with a positive rate of 16.7%. All cases were grouped by lymph node metastasis. The relationship between tumor length, infiltrative depth and differentiation degree and lymph node metastasis was analyzed. Provide basis for preoperative and postoperative treatment options and prognosis. The results showed no correlation between tumor length and lymph node metastasis. The deeper the depth of invasion and the lower the degree of differentiation, the higher the incidence of lymphatic metastasis.