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近年随着食管癌化疗的进展,传统的术后放疗是否还有价值.为评价此点,作者对胸段食管癌接受根治术的89例进行分析。术中均切除全胸段食管并行纵隔、颈及上腹淋巴结清扫,行颈段食管-胃吻合术。其中男78例,女11例,年龄33～79岁(中数61岁),Ⅰ、Ⅱ、Ⅲ、Ⅳ期(UICC)分别有17、34、29、9例。89例中的19例未行辅助治疗者中,5例术中发现有淋巴结转移;另22例仅接受术后化疗者中,有19例术中发现有
In recent years, with the progress of esophageal cancer chemotherapy, whether the traditional postoperative radiotherapy is worthwhile. To evaluate this point, the author analyzed 89 cases of thoracic esophageal cancer undergoing radical surgery. All the thoracic esophagus were resected and the mediastinal, cervical, and abdominal lymph node dissections were performed during operation. The cervical esophageal-gastric anastomosis was performed. Among them, there were 78 males and 11 females, aged 33-79 years (61 years old). There were 17, 34, 29, and 9 cases of I, II, III, and IV (UICC). Out of 89 cases, of 19 cases who did not receive adjuvant therapy, lymph node metastasis was found in 5 cases; in the other 22 cases who only received postoperative chemotherapy, 19 cases were found during surgery.