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本文总结了近7年来394例食管癌、贲门癌的外科治疗情况.手术切除率72.8%(食管癌为86.33%,贲门癌65.1%),手术死亡率3.14%,吻合口瘘发生率为5.58%,术后满5年者86例,生存率为25.6%(食管瘘30.59%,贲门癌22.0%).并对术前进行放射治疗的44例食管癌作了切除率、吻合口瘘发生率及生存率的分析讨论.作者认为,术前辅以放疗,可提高切除率和术后生存率.同时对近年来有关文献作了比较.
This article summarizes the surgical treatment of 394 esophageal and cardiac cancers in the past 7 years. The surgical resection rate was 72.8% (86.33% for esophageal cancer, 65.1% for cardiac cancer), the surgical mortality rate was 3.14%, and the incidence of anastomotic leakage was 5.58%. There were 86 cases after 5 years of operation, and the survival rate was 25.6% (30.59% for esophageal fistula, 22.0% for cardia cancer). The resection rate and incidence of anastomotic leakage were evaluated in 44 cases of esophageal cancer treated with preoperative radiotherapy. Survival analysis and discussion. The author believes that preoperative supplemented with radiotherapy can increase resection rate and postoperative survival rate. At the same time, the relevant literature has been compared.