凶型食管癌在放射治疗中常并发食管穿孔而形成各种瘘 ,如气管—食管瘘、主动脉瘘、纵隔瘘或肺脓疡等。一旦发生以上并发症 ,病人约 6 5 %在两个月内死亡。因此 ,如何降低上述并发症是凶型食管癌放疗中不容忽视的问题。我科自 1998年 5月至 1999年 7月 ,共收治 5 1例凶型食管癌 The fierce esophageal cancer is often complicated by esophageal perforation during radiotherapy, such as tracheo-esophageal spasm, aortic fistula, mediastinal fistula or lung abscess. In the event of above complications, about 65% of patients died within two months. Therefore, how to reduce the above complications is a problem that cannot be ignored in aggressive radiotherapy of esophageal cancer. In our department from May 1998 to July 1999, a total of 51 cases of malignant esophageal cancer were treated.