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目的探讨颈段食管癌的治疗方法。方法回顾性分析78例颈段食管癌患者的临床资料。结果手术加放疗组3、5年生存率(58%、40%)高于单纯手术组(31%、25%),局部复发和淋巴结转移是影响效果的主要原因。结论颈段食管癌应采取综合治疗措施,彻底切除肿瘤及受侵组织,清扫颈淋巴结,一期修复重建消化道,术后联合放疗,可以提高患者的术后生存率和生存质量。
Objective To investigate the treatment of cervical esophageal cancer. Methods The clinical data of 78 patients with cervical esophageal cancer were retrospectively analyzed. Results The 3-year and 5-year survival rates (58%, 40%) in the surgery plus radiotherapy group were higher than those in the surgery alone group (31%, 25%). Local recurrence and lymph node metastasis were the main reasons. Conclusions Comprehensive therapeutic measures should be taken for cervical esophageal cancer. Thorough resection of tumors and invaded tissues, removal of cervical lymph nodes, and primary reconstruction of the digestive tract, combined with postoperative radiotherapy, can improve the patient’s postoperative survival rate and quality of life.