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314例中,男性251例,女性63例;年龄27~74岁,40岁以上270例,占全组85.9%。病程超过6个月72例,3~6个月131例,3个月以内111例。病变部位:食道上段癌12例,中段癌69例,下段癌29例。贲门癌204例,其中14例浸润食道下段。病理为鳞癌110例,腺癌204例。以进食及吞咽梗塞感为主诉入院的占80%,呕血及进食后胸骨后疼痛的占15%,其他占5%。辅助检查:1981年前病例行X线钡餐造影、食道拉网脱落细胞检查:1982年后病例经X线钡餐造影再行纤维胃镜检查。术后并发脓胸5例,肺部感染13例,吻合口瘘6例,切口感染12例。死亡6例,死亡
In 314 cases, there were 251 males and 63 females; aged 27 to 74 years and 270 cases over 40 years old, accounting for 85.9% of the entire group. The disease duration was more than 6 months in 72 cases, 3 to 6 months in 131 cases, and within 3 months in 111 cases. Lesions: 12 cases of upper esophageal cancer, 69 cases of middle cancer, 29 cases of lower cancer. 204 cases of cardiac cancer, including 14 cases of infiltration of the lower esophagus. The pathology was 110 cases of squamous cell carcinoma and 204 cases of adenocarcinoma. Eighty percent of patients admitted to the hospital with eating and swallowing occlusive sensations were chief complaints. 15% of vomiting and post-sternal pain occurred after eating, and the other 5%. Auxiliary examination: X-ray barium meal and excision of esophageal exfoliative cells were performed in cases before 1981. After 1982, the cases were subjected to fiberoptic gastroscopy after X-ray barium meal. Postoperative empyema occurred in 5 cases, pulmonary infection in 13 cases, anastomotic leakage in 6 cases, and wound infection in 12 cases. 6 deaths, death