【摘要】 目的 :探讨食管癌不能切除的原因及危险因素。方法 :回顾性分析 92例仅行剖胸探查而未能切除食管癌患者及 76 9例行根治性切除的患者的临床资料。结果 :食管癌剖胸探查率为 1 0 6 8% (92 /86 1 )。食管癌肿瘤外侵部位最常见者依次为主动脉、气管支气管、下肺静脉及椎体、心包等。本组主动脉受累率为6 0 87% (5 6 /92 ) ,气管支气管受累率为 34 78% (32 /92 ) ,下肺静脉受累率为 2 1 74 % (2 0 /92 )。探查组与切除组比较 ,在性别、有无持续性胸背痛、病理类型、分期、肿瘤部位 5个因素上有显著性差异。结论 :食管癌手术切除的可能性与分期、病理类型、肿瘤部位、有无持续性胸背痛及性别有密切关系 ,应综合各项检查以评估切除可能性 ,降低剖胸探查率更多还原

【Abstract】 Objective:To study the reason and risk factor of unresectable esophageal carcinoma.Methods:Clinical features of 92 patients only with pure exploratory operation were retrospectively compared with those of 769 patients on radical resection.Results:The exploratory rate was 10 68%(92/861).The common piaces of being invaded were aorta,trachea and bronchus,inferior pulmonary vein,vertebra and pericardium in order.The invasion rates of aorta,trachea and bronchus,inferior pulmonary vein were 60 87%(56/92),34 78%(32/92), and 21 74%(20/92), respectively.There were significant differences in sex,sustained thoracalgia and backache,pathological classification,TNM stage and tumor location between two groups.Conclusion:The esophageal carcinoma resectability largely relies on TNM stage,pathological classification,sustained thoracalgia and backache,tumor location and sex.Various examinations should be taken to evaluate the resectability,so that the rate of exploratory operation should be reduced.更多还原