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我科从90年4月—92年4月共手术治疗食管癌和贲门癌81例。中上段食管癌32例,选其中20例病人我们采用右侧胸、颈和腹部正中切口,行颈部食管胃吻合术,收到良好效果,现报导如下。临床资料本组20例中,男18例,女2例。最大年令72岁,最小年龄41岁,平均56岁。本组病例均有进食困难的病史,最长者9个月,最短者3个月。20例中17例有长期大量饮高浓度白酒的病史。喜热饮者11例。病变部位,中段位于主动脉弓部位者17例,上段者3例。食道钡透检查,病变长度5—11厘米不等。所有病例均有不同程度的外侵。食管钡检查。距门齿20厘米3例,距门齿21—23厘米17例。食管
In our department, from April 1990 to April 1992, a total of 81 cases of esophageal and cardiac cancers were treated surgically. In the upper and middle esophageal cancer in 32 cases, we selected 20 cases of patients we use the right side of the chest, neck and abdomen incision, line neck esophagogastric anastomosis, received good results, are reported below. Clinical data in this group of 20 cases, 18 males and 2 females. The maximum age is 72 years old and the minimum age is 41 years old, with an average of 56 years old. This group of patients have a history of eating difficulties, the longest 9 months, the shortest 3 months. Among the 20 cases, 17 cases had a history of long-term high-drinking of high-density liquor. Hot drinkers in 11 cases. Among the lesions, 17 cases were located in the middle of the aortic arch and 3 cases were in the upper segment. Esophageal fistula examination, lesion length ranging from 5 to 11 cm. All cases have varying degrees of external invasion. Esophageal fistula examination. From the incisors 20 cm 3 cases, from the incisors 21-23 cm in 17 cases. esophagus