摘要
目的 :探讨食管癌根治量放疗后需外科治疗患者的手术适应证、手术方法及并发症防治。方法 :对食管癌根治量放疗后行外科治疗 95例患者的临床资料进行回顾性分析。结果 :全组手术切除率 91 6% ( 87/95 ) ,并发症发生率40 0 % ( 3 8/95 ) ,主要并发症为吻合口瘘、心律失常和呼吸衰竭。手术死亡率7 4% ( 7/95 )。随访 82例 ,1、3、5年生存率分别为 62 1% ( 5 4/87)、3 3 3 % ( 2 3 /69)、2 6 1% ( 12 /4 6)。结论 :食管癌根治量放疗后需再次治疗的患者包括狭窄、溃疡、未控和复发 ,外科治疗效果较好。但要严格掌握手术适应证 ,选择合理的术式 ,围手术期处理和并发症的防治非常重要。
OBJECTIVE:To search the operative indication and operative method,prevention and management of postoperative complications for patients of esophageal cancer after radical dose radiotherapy.METHODS:The data of 95 cases on surgical treatment after radical dose radiotherapy of esophageal cancer were reviewed.RESULTS:The rate of resectability was 91.6% (87/95), the rate of postoprative complications 40.0%(38/95).Major complications were anastomotic leak,arrhythmia and respiratory failure.Operative mortality was 7.4%(7/95).1-,3-,5-year survival rates were 62.1%( 54/87 ),33.3%(23/69) and 26.1%(12/46), respectively.CONCLUSIONS:The effection of surgical treatment is good for patients with esophageal cancer who needed retreat after radical dose radiotherapy,including local stricture,ulcer,uncontrol and recurrence.Operative cases should be strictly selected.Suitable operation types,perioperation management and prevention of postoperative complications are very important.
出处
《肿瘤防治杂志》
2004年第9期945-946,共2页
China Journal of Cancer Prevention and Treatment
关键词
食管肿瘤/放射治疗
食管肿瘤/外科学
再手术
esophageal neoplasms/ radiotherapy
esophageal neoplasms/surgery
reoperation
