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目的探讨根治性放疗后食管癌复发外科手术治疗的可行性。方法回顾性分析自2000年5月至2005年5月本院59例根治性放疗后再复发而施行外科手术治疗患者的临床资料。结果手术切除率为93.2%(55/59),并发症发生率35.6%(21/59),死亡率为3.4%,切除组术后1、3、5年生存率分别为71.9%、42.1%、38.6%,明显优于其他非手术疗法。结论对根治性放疗后复发性食管癌患者应行积极的手术治疗,能取得很好疗效,但应严格掌握手术适应证,进行合理充分的围手术期处理。
Objective To investigate the feasibility of surgical treatment of recurrent esophageal cancer after radical radiotherapy. Methods The clinical data of 59 patients who underwent radical surgery after recurrence of radical radiotherapy from May 2000 to May 2005 in our hospital were retrospectively analyzed. Results The surgical resection rate was 93.2% (55/59), the complication rate was 35.6% (21/59) and the mortality rate was 3.4%. The 1,3 and 5-year survival rates of resection group were 71.9% and 42.1% , 38.6%, significantly better than other non-surgical treatment. Conclusions Radical esophageal cancer patients should be treated with active surgery after radical radiotherapy, and good curative effect can be obtained. However, surgical indications should be strictly controlled and adequate perioperative management should be carried out.