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目的 探讨外科手术治疗高位食管癌的疗效。方法 回顾性分析1978年7月至2004年6月采用不同术式治疗高位食管癌320例患者的临床资料,其中,胸上段食管癌308例,颈部食管癌12例。结果 手术切除率为92. 81%,吻合口瘘发生率5. 05%,喉返神经损伤率4. 71%,术后1、3、5和10年生存率分别为78. 08%、41. 88%、35. 22%和27. 27%。结论 对于高位食管癌,只要选择合适的手术方式,做好围手术期处理,手术治疗能够取得较好的疗效。
Objective To investigate the efficacy of surgical treatment of high esophageal cancer. Methods The clinical data of 320 patients with esophageal cancer in high esophagus from July 1978 to June 2004 were retrospectively analyzed. Among them, 308 were esophageal cancer in the upper thoracic spine and 12 were esophageal cancer in the neck. Results The surgical resection rate was 92.81%, the incidence of anastomotic fistula was 5. 05%, the rate of recurrent laryngeal nerve injury was 4.71%, and the 1,3,5 and 10-year survival rates were 78.08% and 41.0% respectively 88%, 35.22% and 27. 27%. Conclusion For high esophageal cancer, as long as the appropriate choice of surgical approach, good perioperative management, surgical treatment can achieve better results.