论文部分内容阅读
目的 :探讨在保留喉功能的基础上结肠上徙代食管治疗晚期下咽癌、颈段食管癌及严重食管狭窄的可行性及疗效。方法 :1989～ 1996年共进行结肠上徙代食管手术 2 5例 ,晚期下咽癌 9例 ,其中 T3期 7例 ( N0 1例 ,N1 4例 ,N2 2例 ) ,T4 N1 M0 2例 ( U ICC1997) ;颈段食管癌 13例 ,其中 T1 N0 M0 2例 ,T2 期 11例 ( N0 4例 ,N1 7例 ) ;严重食管狭窄 3例 (狭窄长度 3～ 5 cm)。术后肿瘤患者给予放疗。结果 :2 5例患者 3、5年生存率分别为5 4 .5 % ( 12 / 2 2 )和 4 2 .9% ( 6/ 14 ) ,其中晚期下咽癌、颈段食管癌 3年生存率分别为 4 4 .4 % ( 4 / 9)和 61.5 % ( 8/ 13 )。结论 :结肠上徙代食管符合生理功能 ,只要手术适应证选择合适 ,术中精细操作 ,可以减少并发症 ,提高患者的生存质量。
Objective: To explore the feasibility and efficacy of colon-esophageal esophageal esophagectomy for the treatment of advanced hypopharyngeal carcinoma, cervical esophageal carcinoma and severe esophageal stenosis based on the preservation of laryngeal function. Methods: From 1989 to 1996, 25 cases of esophageal colorectal esophageal surgery and 9 cases of advanced hypopharyngeal carcinoma were studied. Among them, 7 cases were in stage T3 (N0 in 1 case, N1 in 4 cases and N2 in 2 cases), T4 N1 M0 in 2 cases UICC1997). There were 13 cases of cervical esophageal cancer, of which T1N0 M0 2 cases, T2 stage 11 cases (N0 4 cases, N1 7 cases); severe esophageal stenosis 3 cases (stenosis length 3 ~ 5 cm). Postoperative tumor patients given radiotherapy. Results: The 3 and 5-year survival rates of 25 patients were 54.5% (12/2 2) and 42.9% (6/14), respectively. Among them, the 3-year survival rates of advanced hypopharyngeal carcinoma and cervical esophageal carcinoma were Rates were 44.4% (4/9) and 61.5% (8/13) respectively. Conclusion: The esophagus on the colon is in line with the physiological function, as long as the appropriate choice of indications for surgery, intraoperative fine operation, can reduce complications and improve the quality of life of patients.