目的:对33例食管癌穿孔的患者的手术治疗进行疗效分析。方法:其中食管癌切除同时纵隔穿孔区域周围组织切除26例;不同方式肺切除4例,支气管膜部楔形切除1例,单纯探查2例。结果:30例近期疗效满意,生存期均在6月以上,1例手术后33天死亡。结论:食管癌穿孔的患者应首先手术治疗且疗效肯定。 Objective: To analyze the curative effect of surgical treatment of 33 patients with esophageal perforation. Methods: Twenty-six cases of resection of esophageal carcinoma and periosteal perforation were excised. Four cases of lung resection in different ways, one case of wedge resection in bronchial membrane and two cases of simple exploration. Results: Thirty patients were satisfied with the short-term curative effect, the survival time was above June, and one patient died after 33 days. Conclusion: Patients with perforation of esophageal cancer should be the first surgical treatment and efficacy is positive.