食管癌在我国男性恶性肿瘤死亡率中占第四位，女性为第二位。高发区现场研究证明对癌前病变的阻断治疗是降低食管癌发病率的重要手段。本文就食管上皮细胞重度增生正级（重正）的治疗和转归谈看法，以期同道指正。1问题的提出自60年代开始我国科技工作者就提出了食管上应增生与 Esophageal cancer accounted for the fourth place in the mortality rate of male malignant tumors in China, and women ranked second. The field study in high-incidence areas has demonstrated that blocking treatment of precancerous lesions is an important means to reduce the incidence of esophageal cancer. This article discusses the treatment and prognosis of severe grades of hyperplasia of esophageal epithelial cells in order to seek consensus. 1 The problem has been raised since the 1960s when Chinese scientists and technicians proposed that esophageal hyperplasia should