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[目的]探讨食省癌术后复发转移的预后因素。[方法]通过计算机COX模型，对185例食管癌术后复发转移患者影响其生存的预后因素进行多因素分析。[结果]肿瘤浸润深度和淋巴结转移是影响预后的重要因素，性别和辅助放疗对预后影响不大。[结论]颈部吻合术的预后较胸内吻合好，放疗＋化疗可能延长复发转移患者的生存期。
[Objective] To investigate the prognostic factors of postoperative recurrence and metastasis of esophageal cancer. [Methods] A computer-based COX model was used to analyze the prognostic factors of 185 cases of esophageal cancer patients with recurrence and metastasis. [Results] The depth of tumor invasion and lymph node metastasis were important factors affecting the prognosis. Gender and adjuvant radiotherapy had little effect on the prognosis. [Conclusion] The prognosis of neck anastomosis is better than that of intrathoracic anastomosis. Radiotherapy + chemotherapy may prolong the survival of patients with recurrence and metastasis.