我院1990年3月～1996年10月，采用食管切除胃经食管床主动脉弓上吻合加胸膜覆盖术治疗食管癌418例，取得满意效果，报告如下。1资料与方法1．1一般资料418例均根据临床表现、X线检查、胃镜检查及病理检查确诊为食管癌。其中男289例，女129例；年龄37～78岁，平均62岁。病变位于 In our hospital from March 1990 to October 1996, 418 cases of esophageal cancer were treated with esophagectomy and esophageal bed aortic arch anastomosis and pleural covering. Satisfactory results were obtained. The report is as follows. 1 Materials and Methods 1.1 General Information 418 cases were diagnosed as esophageal cancer based on clinical manifestations, X-ray examination, gastroscopy and pathological examination. Among them, there were 289 males and 129 females; aged 37-78 years old, with an average age of 62 years. The lesion is located