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目的 分析我院近年来食管癌术后病理改变及临床相关因素 ,探讨食管癌发生发展及诊治趋势。方法 对我院 395 4例手术切除的食管癌标本进行病理及临床分析。结果 49岁以下年龄组发病率呈上升趋势。 5 0岁以上年龄组相对呈下降趋势。中晚期癌占 95 .9%,早期癌占 4.1%。诊治时癌的期别逐渐降低。切缘残留癌由 70年代的 2 0 .3%下降至 90年代的 6 .7%(P <0 .0 0 5 )。结论 食管癌发病年龄逐渐年轻化 ,由于人们对食管癌的认识逐渐提高 ,就诊时期别相对较早。由于诊断技术提高 ,对早期癌检出率逐年提高 ,由于治疗技术不断改进 ,手术成功率逐年提高。
Objective To analyze the postoperative pathological changes and clinical related factors of esophageal cancer in our hospital in recent years and to explore the occurrence, development and diagnosis of esophageal cancer. Methods 395 cases of surgical resection of esophageal cancer in our hospital pathological and clinical analysis. Results The incidence in the age group under 49 years showed an upward trend. The age group over the age of 0 is relatively declining. In advanced cancer accounted for 95.9%, early cancer accounted for 4.1%. Cancer treatment period gradually reduced. The residual cancer at the margins decreased from 20.3% in the 1970s to 6.7% (P <0.05) in the 1990s. Conclusions The age of onset of esophageal cancer is getting younger and younger. As the awareness of esophageal cancer gradually increases, the time of treatment is relatively earlier. Due to the improvement of diagnostic techniques, the detection rate of early-stage cancer is increasing year by year. Since the treatment technology is continuously improved, the successful rate of surgery is increasing year by year.