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目的 探讨颈段食管癌非开胸手术的治疗方法。方法 对 4 1例颈段食管癌患者进行非开胸手术治疗 ,其中单独手术治疗者 2 3例 ,术后结合放疗 18例。胃代食管 33例 ,结肠代食管 8例 ,同期行颈廓清扫术 15例。结果 手术加放疗组 3,5年生存率 (5 5 .6 % ,4 6 .7% )均高于单纯放疗 (2 9.5 % ,17.0 % )和单纯手术组 (30 .4 % ,2 0 .0 % ) ,局部复发和淋巴结转移是手术失败的主要原因。结论 手术加放疗对颈段食管癌疗效较好 ,但有效地控制局部复发和颈淋巴结转移问题仍需要进一步探讨。
Objective To investigate the treatment of cervical esophageal cancer without thoracotomy. Methods A total of 41 cases of cervical esophageal cancer were treated by non-thoracotomy, including 23 cases treated by single surgery and 18 cases treated by combined radiotherapy. Gastroesophageal on behalf of 33 cases of colon on behalf of the esophagus in 8 cases, the same period neck dissection in 15 cases. Results The 3-year and 5-year survival rates (55.6%, 46.7%) in the operation plus radiotherapy group were significantly higher than those in the radiotherapy alone group (9.5%, 17.0%) and the simple operation group (30.4%, 20.0% 0%), local recurrence and lymph node metastasis is the main reason for the failure of surgery. Conclusions Surgery and radiotherapy have a good effect on cervical esophageal cancer, but the effective control of local recurrence and cervical lymph node metastasis still need further study.