本文报告1952年9月～1986年12月,196例35岁以下青年人食管癌和贲门癌的外科治疗结果,占同期手术6984例的2.81％。食管癌手术切除率为81.37％,与中年和老年组比较无明显差异。而切除死亡率为2.60％,明显低于后两组。5年生存率为29.13％,高于老年组。对提高早期诊断率、手术适应证的选择及远期疗效等问題进行了探讨。 This article reports the results of surgical treatment of esophageal and cardiac cancers among 196 young people under the age of 35 years from September 1952 to December 1986, which accounted for 2.81% of 6984 cases during the same period. The surgical resection rate of esophageal cancer was 81.37%, which was not significantly different from that of the middle-aged and elderly patients. The excision mortality rate was 2.60%, which was significantly lower than the latter two groups. The 5-year survival rate was 29.13%, which was higher than the old age group. The issues of improving early diagnosis rate, selection of surgical indications and long-term efficacy were discussed.