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我院1975年月至1990年12月收治食管癌患者2650例,并发气管瘘,纵隔瘘19例,现分析报告如下。临床资料男17例,女2例。发病年龄33～68岁,平均52.3岁。经病理证实为鳞癌的12例。原发灶部位位于胸上段6例,胸中段13例。原发灶长度小于5cm 2例,5～7cm 5例,7cm以上12例。原发灶X线类型:髓质型14例,其中凶型5例,占35.7％;中型9例,占47.4％;溃疡型和蕈伞型各1例;缩窄型3例。19例中气管瘘15例,瘘入气管10例,主支气管5例。纵隔
From February 1975 to December 1990 in our hospital, 2650 patients with esophageal cancer were admitted, with tracheal fistula and mediastinal fistula in 19 cases. The analysis report is as follows. Clinical data were 17 males and 2 females. The age of onset was 33 to 68 years old with an average age of 52.3 years. 12 cases confirmed by pathology as squamous cell carcinoma. The primary lesion was located in the upper thoracic segment in 6 cases and in the mid-thoracic region in 13 cases. The length of the primary tumor was less than 5 cm in 2 cases, 5 to 7 cm in 5 cases, and 7 cm in 12 cases. X-ray type of primary foci: 14 cases of medullary type, including 5 cases of malignant type, accounting for 35.7%; 9 cases of moderate type, accounting for 47.4%; 1 case of ulcer type and paraplegia type; 3 cases of constriction type. Among the 19 cases, 15 were tracheal fistulas, 10 were tracheal fistulas, and 5 were main bronchus. Mediastinum