摘要:目的:探讨先经放疗再行手术的方法治疗食管癌患者的疗效及安全性。方法:回顾分析我院近3年收治的经手术治疗的80例食管癌患者的情况，经放疗后进行手术的患者为放疗组(n=38)，未经放疗进行手术的患者为对照组(n=42)。对比分析放疗组与对照组的手术难度及术后并发症发生情况。结果:对照组完成手术时间174±40min，手术切除率93.6%，而放疗组病例完成手术时间203±42min，切除率100%。放疗组的完成手术时间比对照组完成手术时间略为延长(P<0.05)，而并发症与对照组相比无明显差异，且无院内死亡及乳糜胸发生。结论:食管癌放疗后接受手术降低了手术难度，但并不增加并发症发生率，对于部分较晚期的食管癌病例，可考虑先行放疗后施行手术以期提高手术切除率，并达到更好的预后。

    关键词:食管肿瘤;放疗;手术治疗

    Carcinoma of Esophagus Operating After Radiotherapy

    CHEN Wen-he

    (Chaozhou Hospital of Chaozhou City, Guangdong Chaozhou 521011, China)

    Abstract: Objective:To discuss the curative effect and security of the patients with carcinoma of esophagus operating after radiotherapy. Method:80 patients with carcinoma of esophagus were divided into radiotherapy group(n=38)and control group(n=42)by whether cured by radiotherapy before the operation or not. Two groups patients were contrasted the difficulty of the operation and postoperative complication. Result：The time of the operation in control group is 174±40min.And that in radiotherapy group is 203±42min. Compared with the time of two groups, it marked decrease in the radiotherapy group. No patient died in the operation and was with chylothorax. There is no marked difference of complication in the two groups. Conclusion: Patients with carcinoma of esophagus were operated after radiotherapy is safety and effective. It increased neither difficulty of the operation nor the complication postoperative. It can be used in the patients with carcinoma of esophagus in advanced stage also. It can improve the rate of operating success and the prognosis of the patients with carcinoma of esophagus. ......