颈段食管癌外科手术及综合治疗初探

preliminary study of surgical therapy and combinedtherapy for cervical esophageal carcinoma

对５２例外科手术治疗的颈段食管癌患者的治疗结果进行回顾分析。全组３年和５年生存率分别为３８．５％（２０／５２）和３５．１％（１３／３７）。单纯手术组的３年和５年生存率分别为１５．４％（２１／１３）和９．１％（１／１１），综合治疗（手术加术前或术后计划性放疗４０００～５０００ｃＧｙ）组的３年和５年生存率分别为４８．１％（１３／２７）和５２．９％（９／１７），根治性放疗失败手术救治组的３年和５年生存率分别为４１．７％（５／１２）和３３．３％（３／９）。资料表明，综合治疗的结果明显优于单纯手术和单纯放疗。作者认为，喉返神经、下咽、气管、喉和甲状腺受侵均非手术禁忌。

Abstract52 patients with carcinoma of cerviical esophaguswere treated surgically. Their 3-and 5-year survivalrate of was 38.5%and 35.1%respectively. The 3-and 5-year survival rate for surgery alone was 15.4%(2/13) and 9.1%(1/11), The 3- and 5-year survivalrate for combined therapy (pre- or postoperative radia-tion and surgery) was 48.1%(13/27) and 52.9%(9/17). The 3- and 5-year survival rate for surgical sal-vage after failure of radical radiotherapy was 41.7%(5/12) and 33.3%(3/9). Our data suggest that theresult of combined therapy is much better than the re-sult of surgery or radiotherapy. The invation of recur-rect nerve, hypopharynx, trachea, larynx and thyroidgland by tumor is contracindicated to surgery.