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1983年1月至1989年3月,收治食管癌130例,贲门癌47例,合计177例。全部病例经食管胃钡餐透视摄片,纤维食管镜检,活检和/或刷片细胞学检查,个别病例经拉网细胞学检查等手段确诊。手术116例,切除101例,手术切除率87.1％。1987年1月起食管癌术前放疗+手术切除20例。除1例术后7天合并气管塌陷抢救无效死亡外,余19例中生存三年7例,生存二年7例,生存一年5例,至发稿时均健在。我们体会术前放疗可使一些原不宜手术病例转化为可行手术切除,提高了手术切除率。有可能提高五年生存率。
From January 1983 to March 1989, 130 cases of esophageal cancer and 47 cases of cardia cancer were treated and treated, totaling 177 cases. All cases were diagnosed by esophageal stomach and barium meal radiography, fiberoptic esophagoscopy, biopsy and/or brush cytology, and individual cases were diagnosed by pull-net cytology. 116 cases were operated and 101 cases were removed. The surgical resection rate was 87.1%. In January 1987, 20 cases of esophageal cancer were treated by preoperative radiotherapy and surgery. Except 1 case died of tracheal collapse after 7 days of operation, 7 cases survived in 3 years, 7 cases survived in 2 years, 5 cases survived in one year, and were alive at the time of writing. We realized that preoperative radiotherapy can transform some of the original inoperable cases into viable surgical resections, improving the surgical resection rate. It is possible to increase the five-year survival rate.