青年人食管癌的外科诊治分析  

Surgical treatment of esophageal carcinoma in young patients

作　　者：郭海涛[1] 张铸[1] 吴明拜[1] 伊力亚尔.夏合丁 张昌明[1] 张力为[1] 

机构地区：[1]新疆医科大学第一附属医院胸外科,新疆乌鲁木齐830054

出　　处：《新疆医科大学学报》2005年第7期647-648,651,共3页Journal of Xinjiang Medical University

摘　　要：目的:探讨青年人食管癌的特点和外科治疗。方法:回顾性分析手术治疗的50例青年人(≤40岁)食管癌和同期100例(按1:2比例随机抽取)中老年(>40岁)食管癌病人的临床病理资料和手术治疗情况。结果:青年人食管癌病人误诊率高.肿瘤病理分化差,浸润度深,区域淋巴结转移率高,TNM分期Ⅲ、Ⅳ期比例高,术前合并症和术后并发症发生率低。结论:青年人食管癌恶性程度高、易误诊,应早期诊断治疗,采取以手术为主的综合治疗。Objective: To explore the characteristics and surgical treatment of esophageal carcinoma in young patients. Methods: We performed a retrospective review of 50 young patients (≤40 years) and randomly selected 100 older patients (>40 years) who underwent surgical treatment for esophageal carcinoma. Compared with their clinical, pathological characteristics and surgical treatment. Result: The young patients of esophageal carcinoma had higher misdiagnosis rate, worse pathological differentiation, higher regional lymph node metastasis, deeply invasion, higher proportion of TNM stage Ⅲ and Ⅳ, lower preoperative complications and postoperative complications than older patients. Conclusion: The young patients of esophageal carcinoma have higher malignant degree and be easy to misdiagnose. Early diagnosis and treatment is crucial important, They should be given multiple-modality treatment based on surgical operation.

关 键 词：食管癌 青年人 外科治疗 

分 类 号：R655.3[医药卫生—外科学] R735.1[医药卫生—临床医学]