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临床资料 本组63例,男43例,女20例,年龄在22～74岁。病变部位:食管中下段38例,中段23例,中上段2例;病变长度:2.5～10cm,累及浅层主动脉壁等器官6例;病理诊断:鳞状细胞癌58例,未分化癌2例,腺癌3例,食管上切缘均未查见残留癌。UICC分期:Ⅰ期5例,Ⅱ a 期18例,Ⅱ b15例,Ⅲ期25例。术后发生心律失常3例,切口感染1例,全部治愈。未发生胃潴留、吻合口瘘乳糜胸等严重并发症。术后2周恢复半流饮食,无进食不畅。
Clinical data The group of 63 patients, 43 males and 20 females, aged 22 to 74 years old. Lesions: 38 cases of middle and lower esophagus, 23 cases in the middle, 2 cases in the upper and middle segment; lesion length: 2.5 ~ 10cm, involving the aortic wall and other organs in 6 cases; pathological diagnosis: 58 cases of squamous cell carcinoma, undifferentiated carcinoma 2 In three cases of adenocarcinoma, no residual cancer was found in the upper margin of the esophagus. UICC staging: 5 cases of stage I, 18 cases of stage II a, 15 cases of II b, and 25 cases of stage III. Arrhythmias occurred in 3 cases after surgery, incision infection in 1 case, and all were cured. No serious complications such as gastric retention, anastomotic leakage, chylothorax, etc. occurred. Two weeks after the operation, a half-flow diet was resumed and no food was consumed.