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目的:探讨食管多发原位肿瘤的诊断及治疗方法。方法:回顾我院1984年至2004年20年期间我院收治食管多发原位肿瘤病人11例,占同期食管肿瘤病人的1.34％,全组病人术前、术后均酌情予以放疗、化疗,其中手术根治10例,1例行手术探查。结果:全组病人无手术死亡,术后并发症发生率45.45％(5/11)。术后1例病人吻合口漏,于术后3天死于多脏器功能衰竭。1年生存率72.73％(8/11),5年生存率27.27％(3/11)结论:早期全面正确的检查,可明显降低漏诊率,以外科根治手术为主,酌情予以术前术后辅以放疗、化疗可提高手术切除率和术后长期生存率。
Objective: To explore the diagnosis and treatment of multiple esophageal tumor in situ. Methods: From 1984 to 2004, our hospital treated 11 cases of multiple esophageal carcinoma in situ in our hospital from 1984 to 2004, accounting for 1.34% of patients with esophageal neoplasm in the same period. All patients underwent radiotherapy and chemotherapy before and after surgery, Surgery in 10 cases, 1 case of surgical exploration. Results: All patients died without surgery, the incidence of postoperative complications was 45.45% (5/11). One patient had anastomotic leakage after operation and died of multiple organ failure 3 days after operation. The 1-year survival rate was 72.73% (8/11) and the 5-year survival rate was 27.27% (3/11) .Conclusion: Early comprehensive and correct examination can significantly reduce the rate of misdiagnosis, which is mainly based on surgical radical surgery and preoperative and postoperative Supplemented by radiotherapy and chemotherapy can improve the surgical resection rate and long-term survival after surgery.