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目的探讨食管癌淋巴结转移的规律，相关因素及临床意义。方法对208例食管癌根治术后的临床病理资料进行分析。结果208例中124例发现淋巴结转移，转移率为59．62％（131／208）清扫淋巴结2651个，其中430个淋巴结转移，淋巴结的转移率为16．22％（430／2651），并讨论了影响淋巴结转移的相关因素。结论对中上段食管癌应行全胸段食管切除，食管胃颈部吻合，彻底清扫各组淋巴结，才能达到根治目的。
Objective To investigate the regularity, related factors and clinical significance of lymph node metastasis in esophageal cancer. Methods The clinical and pathological data of 208 cases of esophageal cancer after radical operation were analyzed. RESULTS: Lymph node metastasis was found in 124 of 208 patients. The metastatic rate was 59.62% (131/208) of 2651 lymph node dissections, of which 430 lymph node metastases and lymph node metastasis rate was 16.22% (430/2651). The related factors affecting lymph node metastasis. [Conclusion] Thorough esophageal resection should be performed on the middle and upper esophageal cancer. The esophagogastric and cervical anastomosis should be performed to thoroughly clean the lymph nodes in each group in order to achieve the goal of radical treatment.