摘要
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.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第3期176-178,共3页
Chinese Journal of Surgery