【作者】 胡成广； 郑炳祥； 王春利； 冯守山；

【Author】 HU Chengguang,ZHENG Bingxiang,WANG Chunli.et al. Department of Thorax ,Shanxi Tumor Hospital Taiyuan 030013,China.

【机构】 山西省肿瘤医院；

【摘要】 目的探讨食管癌根治性放疗后复发的外科治疗。方法回顾我院自1983年至2000 年来对189例根治性放疗后复发的患者的手术治疗的经验,分阶段总结及对将来治疗方法的展望。结果本组手术切除率88．89％,并发症发生率35．45％,手术死亡率3．70％,1、3、5年生存率分别为93．72％、36．74％、29．37％。结论食管癌根治性放疗后复发的手术切除是一种有效的治疗方法,并随着药物、医疗器械、手术方法的不断成熟,疗效不断改善,并发症不断减少。手术适应症的掌握、选择合适的方法、围手术期的处理也是非常重要的。更多还原

【Abstract】 Objective:To study surgical treatment for recurrent esophageal carcinoma after curative radiotherapy. Menthod:To reviel the patients with recurrent esophageal after curative radiotherapy between 1983 to 2000 were recived surgical treatment. To summarize according to the time stages and prostect the future treatment method. Results: The overall resectibility was 88. 89%. The postoperative complication was 35. 45%. The operative mortality was 3. 70%. The 1,3,5 years surgical rates were 93. 72% ,36. 74% ,29. 37%. Conclusion: surgical treatment for esophageal carcinoma after curative radiotherapy is a efftive method. With the development of medicines,medical apparatus and operation method,curative effect unceasingly improved. The postoperative complication unceasingly decreased. It was very important of the control of surgical indication,selection of the suitable method,the treatment of the period of operation.更多还原