１９７７－１９８７年我科手术治疗食管癌１０４６例，３９岁以下的青年患者占１４．９％（１５６例）。其手术切除率８１．４％，死亡率１．３％，吻合口瘘１．３％．其它并发症占１４．７％．５年生存率为２８．８％。分析认为，影响青年人食管癌远期疗效的主要因素有：病程、病变长度及深度，病理分期、切缘癌残留、区域淋巴结转移和术式。要提高远期疗效，有赖于早期诊断、早期治疗、应切除足够长的食管和积极的区域淋巴结清扫，以及放疗、化疗的配合。 From 1977 to 1987, our department had surgery for 1046 cases of esophageal cancer, and young patients under the age of 39 accounted for 14.9% (156 cases). The surgical resection rate was 81.4%, the mortality rate was 1.3%, and the anastomotic leakage was 1.3%. Other complications accounted for 14.7%. The 5-year survival rate was 28.8%. According to the analysis, the main factors influencing the long-term efficacy of esophageal cancer in young people are: course of disease, length and depth of lesions, pathological stage, resection margin cancer, regional lymph node metastasis, and surgical procedures. To improve long-term efficacy depends on early diagnosis, early treatment, long enough esophagectomy and active regional lymph node dissection, as well as radiotherapy and chemotherapy.