合并糖尿病给食管、贲门癌的手术治疗带来了不利的因素。１９９０年至１９９４年，我们共治疗了术前确诊合并糖尿病的食管癌患者９例，贲门癌患者６例。手术切除率９３．３％（１４／１５），术后并发症率２０．０％（３／１５），无吻合口瘘及手术死亡，无因手术因素而致糖尿病失控者，均康复出院。强调术前检测血糖、尿糖、尿酮的重要性；根据血糖水平调节应用胰岛素，从而控制糖尿病是手术治疗成功的关键。 The combination of diabetes for surgical treatment of esophageal and cardiac cancers has brought adverse factors. From 1990 to 1994, we treated 9 cases of esophageal cancer patients diagnosed with diabetes before surgery and 6 cases of cardiac cancer patients. The surgical resection rate was 93.3% (14/15). The postoperative complication rate was 20.0% (3/15). There was no anastomotic leakage and surgical death. There was no diabetes out of control due to surgical factors and both were discharged. Emphasizing the importance of preoperative blood glucose, urine glucose, and urine ketones; regulating the use of insulin based on blood glucose levels to control diabetes is the key to successful surgical treatment.