我院１９７６～１９９２年连续采用颈胸腹切口治疗高位食管瘤５０例，经手术证实肿瘤全部在奇静脉平面以上，肿瘤长３～８ｃｍ，根治切除４７例，肿瘤切除率９４％。３例肿瘤未能切除，采用短路手术。术后出现各种并发症１１例次，均治愈出院。全组随访１年以上，根治术后一年存活率９８％，三年存活率４０．６％。说明此手术方法是治疗高位食管瘤的一种安全有效的方法。 In our hospital from 1976 to 1992, consecutive 50 cases of high esophageal tumors were treated with cervical thoracoabdominal incision. All the tumors were confirmed to be above the azygos vein level by surgery, and the tumors were 3 to 8 cm long. 47 cases were treated by radical resection and the tumor resection rate was 94%. Three tumors failed to be removed and short-circuit surgery was used. All kinds of complications occurred 11 times after operation and all were cured and discharged. The whole group was followed up for more than one year. The one-year survival rate after radical surgery was 98%, and the three-year survival rate was 40.6%. This shows that this surgical method is a safe and effective method for the treatment of high esophageal tumors.