本文报告1974年1月～1989年1月的15年中,食管中段癌切除后行胃食管颈部吻合术与主动脉弓上吻合术二种术式各连续取200例进行分析.颈吻合组男176例,女24例,年龄31岁～70岁,平均52岁;弓上吻合组男169例,女31例,年龄25岁～64岁,平均51岁.按UICC分类法纠正分期,颈吻合组Ⅰ期23例,Ⅰa期70例,Ⅱb期64例,Ⅲ期43例,弓上吻合组Ⅰ期23例,Ⅱa期80例,Ⅱ_b期75例,Ⅲ期22例.切除食管长度,颈吻合组为10.5cm～14cm,平均12.5cm;弓上吻合组8cm～12cm,平均9cm;平均每例切除淋巴结数,颈吻合组为11枚,弓上吻合组为6枚.颈吻合组根治性切除为196例,姑息性4例.弓上吻合组根治性切除189例,姑息性11例.术后有淋巴结转移颈吻合组占 In this report, from January 1974 to January 1989, 200 cases of consecutive esophageal cancers undergoing gastroesophageal neck anastomosis and aortic arch anastomosis were consecutively analyzed in 200 cases. Anastomosis group male 176 Cases, 24 females, ages 31 to 70 years old, average 52 years old; bow anastomosis group 169 males and 31 females, aged 25 to 64 years, mean 51 years old. According to UICC classification to correct staging, neck anastomosis group There were 23 cases in stage I, 70 cases in stage Ia, 64 cases in stage IIa, 43 cases in stage III, 23 cases in stage I of the anastomosis group, 80 cases in stage IIa, 75 cases in stage IIa, and 22 cases in stage III. The length of the esophagus was resected and the cervical anastomosis was performed. The group was 10.5 cm to 14 cm with an average of 12.5 cm; the anastomosis group was 8 cm to 12 cm with an average of 9 cm; the average number of lymph nodes removed was 11 in the cervical anastomosis group and 6 in the anastomosis group. Radical resection of the cervical anastomosis group There were 196 cases and 4 cases were palliative. There were 189 cases of radical resection in the anastomosis group and 11 cases of palliative disease.