本文报告食道动脉灌注和放射治疗食管癌的疗效比较,前者总有效率为65.52％,后者为99.44％,有非常显著性差异(P>0.001),同时阐明了食道动脉灌注疗效低的原因主要是与食道血供复杂的解剖特点有关;并提出了疗效的巩固问题和食道动脉化疗的可行性。通过改进造影技术、并与手术、放疗相结合,可望提高疗效和生存率。 This article reported the efficacy of esophageal artery perfusion and radiotherapy for esophageal cancer. The former had a total effective rate of 65.52%, and the latter was 99.44%, with a very significant difference (P>0.001). At the same time, the main reasons for the low efficacy of esophageal arterial infusion were explained. It is related to the complex anatomical features of esophageal blood supply; it also proposes the consolidation of efficacy and the feasibility of esophageal arterial chemotherapy. By improving the contrast technique and combining with surgery and radiotherapy, it is expected to improve the efficacy and survival rate.