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本组自1977年11月～1981年3月共手术治疗食管息肉样恶性肿瘤9例。男3例、女6例,年龄38～69岁,平均51岁。症状期1～4月,平均2月。食管上段癌2例,中段癌5例、下段癌2例。8列为鳞状细胞癌,1例为癌肉瘤。进食受阻是本病的最常见症状。X线检查有助于诊断,食管镜检查可直接地看到肿瘤,也可取活检确诊。肿瘤向腔内生长,皆有蒂和食管粘膜相连,基底范围较小,浸润较浅,手术切除率高。9例均进左胸作根治性食管切除术,2例作颈部食管胃端侧吻合术,5例作胸内主动脉弓上吻合,2例弓下吻合,术后无并发症及死亡,皆痊愈出院。
In this group, 9 cases of polypoid malignant tumors of the esophagus were treated surgically from November 1977 to March 1981. There were 3 males and 6 females, aged 38-69 years old, with an average age of 51 years. Symptoms last from January to April, with an average of 2 months. There were 2 cases of upper esophageal carcinoma, 5 cases of middle carcinoma and 2 cases of lower carcinoma. 8 were squamous cell carcinoma and 1 was carcinosarcoma. Eating is blocked is the most common symptom of the disease. X-ray examination is helpful in diagnosis. Esophagoscopy can directly see the tumor. It can also be confirmed by biopsy. Tumors grow into the cavity, and all have pedicles connected to the esophageal mucosa. The basal area is smaller, the infiltration is shallow, and the surgical resection rate is high. 9 cases were all treated with radical esophagectomy in the left chest, 2 cases were treated with cervical esophagogastric end-to-side anastomosis, 5 cases were anastomosis of the aortic arch in the chest, 2 cases were under the arch anastomosis, and no complications and death occurred after surgery. Discharged.