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作者在 Keio 和 Kurume 医科大学医院共收治颈段包括颈胸段食管癌102例,手术切除64例(62.7%).本文就颈段食管癌外科治疗结果、预后、组织学检查介绍如下:病例作者在1960~1982年间手术切除颈段包括颈胸段食管癌64例,手术死亡率10.8%(7/64例).女性30例,男性34例.年龄36~85岁(平均62.5岁).所有病例均行食管造影及内窥镜检查,发现肿块仅位于颈段者62例,位于颈胸段者40例.病理活检均为鳞状细胞癌.大多数病例手术前给予放射治疗,总剂量3000~6000rad,(200rad/天).手术方式 1960~1967年间行颈段食管切除12例.近15年行全食管切除52例,其中经右侧开胸食管
At Keio and Kurume Medical University Hospital, a total of 102 patients with neck and thoracic esophageal cancer were treated and 64 patients (62.7%) underwent surgical resection. This article presents the results of surgical treatment, prognosis, and histological examination of cervical esophageal cancer as follows: Case Author From 1960 to 1982, surgical resection of the cervical segment included 64 patients with cervical and thoracic esophageal cancer. The operative mortality was 10.8% (7/64). There were 30 females and 34 males. The age ranged from 36 to 85 years (average 62.5 years). All patients underwent esophageal angiography and endoscopy, and found that the masses were located only in the cervical segment in 62 cases, in the cervical thoracic segment in 40 cases. The pathological biopsy was squamous cell carcinoma. Most cases were given radiation therapy before surgery, the total dose of 3000 ~6000rad, (200rad/day). Surgical methods 12 cases of cervical esophagectomy were performed between 1960 and 1967. Fifty-two cases of total esophageal resection were performed in the last 15 years, among which the right open chest esophagus was performed.