食管癌根治性放疗后复发的治疗是临床上棘手的问题,手术切除似能获得较好的近期疗效。我科于1980年9月至6月间共收治此类患者80例。报告如下: 1 临床资料 1.1 性别与年龄:男性64例,女性16例,男女之比为4:1;年龄在31～72岁间,平均为53.2岁。 复发的症状与时间:吞咽状况恶化者66例,占82.5％,下咽疼及胸背痛者14例,占17.5％;复发时间最短者为放疗后1个月,最长者为放疗后10年,其中6个月以内者44例(55％),6～12个月者17例(21.3％),12个月以上者19例(23.8％)。 1.3 病变分段与放疗剂量;颈段食管癌1例, The treatment of esophageal cancer recurrence after curative radiotherapy is a clinically difficult problem. Surgical resection may be able to achieve better short-term efficacy. In our department, 80 cases of such patients were admitted between September and June of 1980. The report is as follows: 1 Clinical data 1.1 Gender and age: 64 males and 16 females, male to female ratio of 4:1; aged 31 to 72 years old, average 53.2 years old. Symptoms and time of relapse: 66 cases with worsening swallowing status accounted for 82.5%, 14 cases with hypopharyngeal pain and thoracodorsal pain, accounting for 17.5%; the shortest recurrence time was 1 month after radiotherapy and the longest was 10 after radiotherapy. In the year, 44 cases (55%) were within 6 months, 17 cases (21.3%) were between 6 and 12 months, and 19 cases (23.8%) were over 12 months. 1.3 lesion segmentation and radiotherapy dose; cervical esophageal cancer in 1 case,