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一、本文分析1973年以来普查出的63例早期食管癌,其中18例因拒绝治疗而自然死亡于食管癌,其全病程为20～59个月,平均39.6个月。我们将其分为早期和中晚期两个阶段,早期阶段发展较慢,为12～55个月,平均31.4个月;中晚期阶段发展较快,为3～24个月,平均9.1个月。二、早期食管癌的男女性别患病率为1.74:1。发病年龄为32～79岁,平均58.2岁;以50～59岁年龄组为最高,占全组病例的39.7％,比我县十年回顾调查资料(以60～69岁年龄组最高,占37.2％),似提前五年左右。三、本组治疗35例中,手术切除11例全部健在,故早期食管癌病人宜提倡手术治疗;中草药治疗虽有经济、方便和易于接受的优点,疗效不甚满意,有待进一步研究。
First, this article analyzed 63 cases of early esophageal cancer detected in 1973, of which 18 cases died of esophageal cancer due to treatment refusal. The total duration of disease is 20 to 59 months, with an average of 39.6 months. We divide it into two stages: early stage and middle stage. The early stages are slow to develop, ranging from 12 to 55 months, with an average of 31.4 months. The late stage is rapid, ranging from 3 to 24 months with an average of 9.1 months. Second, the prevalence of male and female esophageal cancers was 1.74:1. The age of onset was 32 to 79 years old, with an average of 58.2 years old; the age group of 50 to 59 years old was the highest, accounting for 39.7% of the whole group of cases, which was the highest in the 60-69 age group, accounting for 37.2%. %) seems to be about five years in advance. Third, in this group of 35 cases, surgical resection in 11 cases were all alive, so patients with early esophageal cancer should promote surgical treatment; Chinese herbal medicine, although economic, convenient and easy to accept the advantages, efficacy is not satisfactory, pending further study.