食管癌根治性放疗后复发的外科治疗（附24例报告）

我们对１９８９年以来２４例食管癌根治性放疗后复发进行了外科治疗，本组切除率９１．６％，高于国内现有报道。手术死亡率８．２％，术后并发症１２．５％，均低于国内报道。术后１、３、５年生存率分别为７２．７％、３６．３％、１８．１％（远期随诊不足），术后病理证实３１．８％为放疗反应Ⅲ级。作者认为放疗后复发患者手术适应者，手术优越于再程放疗。术中需严谨操作。

Surgical Treatment of Recurred EsophagealCarcinoma after Radical Radiotherapy

Since 1989,24 cases of recurred esophageal carcinoma patients lafter radical radiotherapyhave been treated by surgery in our department.The resectable rate was 91.6N,which washigher than the early reports in China. Meanwhile the overall montality rate was 8.2% andthe complication rate of post surgery was 12.5%,which were all lower than the early homereports.The 1-,3-,5-year survical rates were 72.7%,36.3% and 18.1 %,respectively(thelong-term follow--up was not satisfactory).After surgery in the specimens we found 31' 8%of them had stage 3 radiotherapeutic reaction.The authors consider that cases of this sort tobe treated by surgery get better result than those of reradiotherapy and careful managementshould be done during operation.