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作者对50例非开胸经食管裂孔切除食管癌的病人进行回顾随访,平均18.4个月(1～5年),对病人进行临床、化验、食管钡餐造影与CT检查以确定病人生活质量与肿瘤复发情况,其中23人(46％)术后复发,仅1例发生于术后1年以内,术后平均存活时间为15.7个月,1年存活率57％,2年34％,3年23％,纵隔复发50％,而其中50％首次检查时即有转移症状,CT检查复发最为敏感,Ⅰ、Ⅱ期比Ⅲ、Ⅳ期或比分化差的肿瘤转移
The authors conducted a retrospective follow-up of 50 patients who underwent transthoracic esophageal resection of esophageal cancer with an average of 18.4 months (1 to 5 years). Clinical, laboratory, esophageal barium meal, and CT scans were performed on the patient to determine quality of life and tumors. Of the recurrences, 23 (46%) had postoperative recurrences, only 1 occurred within 1 year after surgery, and the average survival time was 15.7 months. The 1 year survival rate was 57%, 2% 34%, 3 years 23 %, mediastinal recurrence of 50%, and 50% of them have metastasis symptoms at the time of first examination, CT scan is the most sensitive to recurrence, stage I, II than III, IV or poorly metastasized tumor metastasis