对１４例食管癌、贲门癌合并严重肺结核患者行手术治疗。手术切除率８５．７％（１２／１４），术后发生并发症７项次，无手术死亡。１年生存率８１．８％（９／１１），２年生存率６２．５％（５／８）．并对外科治疗的有关问题进行探讨。 Surgical treatment was performed on 14 patients with esophageal or cardiac cancer complicated with severe pulmonary tuberculosis. The surgical resection rate was 85.7% (12/14). There were 7 postoperative complications and no operative death. The 1-year survival rate was 81.8% (9/11), and the 2-year survival rate was 62.5% (5/8). And to discuss the issues related to surgical treatment.