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目的 :探讨食管贲门癌术后肺转移瘤的外科治疗指征、手术原则及预后。方法 :对 9例食管贲门癌术后肺转移瘤的临床资料进行回顾性分析。结果 :全组手术后无手术并发症 ,无手术死亡。 1、3、5年生存率分别为 8/ 9(88.9% )、4/ 9(4 4.4% )、2 / 9(2 2 .2 % )。原发癌术后化疗及转移瘤术后化疗与转移瘤复发、预后差异不明显。结论 :对食管贲门癌已达根治 ,无他处转移及肺功能可承受手术者作为手术指征。
Objective: To investigate the surgical indications, surgical principles and prognosis of postoperative pulmonary metastases in patients with esophageal and cardiac cancer. Methods: The clinical data of 9 patients with esophageal and cardiac cancer after operation were retrospectively analyzed. Results: All the patients had no surgical complications and no operative death. The 1-, 3-, 5-year survival rates were 8/9 (88.9%), 4/9 (4.4%), 2/9 (22.2%), respectively. Postoperative chemotherapy and metastasis of primary cancer postoperative chemotherapy and metastasis recurrence, the prognosis was not significant. Conclusion: The treatment of esophageal and cardiac cancer has reached radical surgery without metastasis and pulmonary function can withstand surgery as an indication of surgery.