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目的探究食管癌和贲门癌的外科治疗效果,为以后的临床治疗提供依据。方法选取1992年1月~2012年1月在我院就诊的4812例食管癌和贲门癌患者的临床资料为研究对象。食管癌患者手术方式主要采用左侧剖胸,右侧剖胸、上腹正中切口及颈部吻合。贲门癌患者则采用经左胸后外侧切口进行切除,经腹切除,和经胸腹联合切口切除和手术探查。结果食管癌3037例患者中,上段、中段和下段各个发病部位均是老年患者居多。不同部位年龄构成比例发生上段和中段食管癌的人数不具有显著差异,无统计学意义(P>0.05)。但高龄组中发生下段食管癌的比例明显低于低龄者,差异具有统计学意义(P<0.05)。在食管癌和贲门癌4812例病例中,各种类型的患者均以Ⅱ期和Ⅲ期患者居多,但不同年龄的患者Ⅲ期临床分期构成比具有显著差异,具有统计学意义(P<0.05)。低龄患者在Ⅰ期和Ⅱ期的总人数比例明显高于高龄患者,差异具有统计学意义(P<0.05)。结论食管癌和贲门癌的患者以老年人居多,且以Ⅱ期和Ⅲ期患者居多。
Objective To investigate the surgical treatment of esophageal and cardiac cancer and provide evidence for future clinical treatment. Methods From January 1992 to January 2012 in our hospital 4812 cases of esophageal and cardiac cancer patients clinical data for the study. Esophageal cancer patients mainly by the operation of the left thoracotomy, right thoracotomy, upper abdominal incision and neck anastomosis. Cardiac cancer patients were treated by lateral incision left thoracotomy, abdominal resection, and thoracoabdominal incision resection and surgical exploration. Results Among the 3037 patients with esophageal cancer, most of the patients in the upper, middle and lower stages were all elderly. There was no significant difference in the age-specific proportions of upper and middle esophageal cancer among different age groups (P> 0.05). However, the incidence of lower esophageal cancer in the elder group was significantly lower than that in the younger group, the difference was statistically significant (P <0.05). In the 4812 cases of esophageal and cardiac cancer, all types of patients were mostly stage Ⅱ and Ⅲ, but the stage Ⅲ clinical staging of patients with different ages had significant difference (P <0.05) . The proportion of younger patients in stage Ⅰ and Ⅱ was significantly higher than that in elderly patients, with statistical significance (P <0.05). Conclusion The majority of patients with esophageal and cardiac cancer are elderly patients, and the majority of patients with stage Ⅱ and Ⅲ.