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35岁以下青年食管贲门癌181例诊治分析
引用本文:张卫民,师晓天,马金山.35岁以下青年食管贲门癌181例诊治分析[J].肿瘤基础与临床,1996(1).
作者姓名:张卫民  师晓天  马金山
作者单位:安阳市肿瘤医院胸科
摘    要:1981年1月至1992年12月间,我们共治疗食管贲门癌3467例,其中35岁以下青年食管贲门癌181例,占同期手术病例的5.24%(181/3467)。手术切除率90%,并发症发生率6.8%(11/181),手术死亡率1.1%(2/181)。术后1、3、5、10年生存率分别为98.5%、39.6%、27.5%、12.3%,综合治疗远期生存率,3、5、10年为42.3%、30.6%、13.1%。本文提示:提高远期生存率的关键在于早期确诊,尽早治疗及术后放疗、化疗的配合。

关 键 词:食管癌,贲门癌,青年,手术治疗

Analysis of 181 Young Patients under 35 with Esophageal and Cardiac Carcinoma Treated by Operation
Zhang Weimin, Shi Xiaotian, Ma Jinshan.Analysis of 181 Young Patients under 35 with Esophageal and Cardiac Carcinoma Treated by Operation[J].journal of basic and clinical oncology,1996(1).
Authors:Zhang Weimin  Shi Xiaotian  Ma Jinshan
Abstract:From January 1981 to December 1992, 181 cases of esophageal and cardiac carcinoma in adults under 35 were operated upon,accounting for 5. 24% of 3467 cases surgically treated during the same period of time. The resection rate was 90%,the operative motality rate was 1.1 %. The 1-, 3-, 5-,and 10-year survival rates were 98. 5%, 39. 6 %, 27. 5 % and 12. 3 %, respectively. In esophageal and cardiac carcinoma,the survival rate of combined treatment was higher than that of operation alone. The key to increase the postoperative survival rate deponds upon early diagnosis,early operative resection and radiotherapy and chemotherapy in combination.
Keywords:esophageal carcinoma  cardiac carcinoma  youth  operative treatment
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