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目的与方法对１９８６－１９９５年收治的食管癌术后复发转移９２例资料进行回顾性分析。结果术后复发转移时间为２－５６个月，平均１７．８个月。淋巴结转移５６例，血行转移５例，混合型转移２６例，吻合口复发５例。在经不同治疗方案的中位生存期中，系统治疗组较其它治疗组，放疗＋化疗组较单纯放疗或化疗者均较长，差异有显著性（Ｐ＜０．０５）。结论对于食管癌病例，应优先选择颈部吻合术，颈清扫术仅限于少数病例。放疗＋化疗可能延长复发转移患者的生存期，较有效的化疗方案有待进一步研究。
Objectives and methods To retrospectively analyze the data of 92 cases of recurrence and metastasis of esophageal cancer treated in 1986-1995. Results Postoperative recurrence and metastasis ranged from 2-56 months with an average of 17.8 months. There were 56 cases of lymph node metastasis, 5 cases of hematogenous metastasis, 26 cases of mixed metastases, and 5 cases of anastomotic recurrence. In the median survival time of different treatment options, the radiotherapy + chemotherapy group had a longer duration than the other treatment groups, and the difference was significant (P < 0.05). Conclusion In the case of esophageal cancer, neck anastomosis should be preferred, and neck dissection is limited to a few cases. Radiotherapy + chemotherapy may prolong the survival of patients with recurrence and metastasis, and more effective chemotherapy plans need further study.