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本文对我院收治33例食道小细胞癌和近4年国内公开发表文献中的204例进行分析。发病率为1.19%,男女之比为28∶1,50岁以上患者占75.0%。单纯手术、放疗、化疗的一年生存率为17.5%、19.0%、22.2%,而手术+化疗或/和放疗、放疗+化疗的一年生存率为60.0%和54.1%,单纯治疗与综合治疗相比有显著差异(P<0.001)。本组资料提示扩大切除范围及彻底的区域淋巴结清扫,配合有计划的综合治疗可明显延长患者的生存期。
This article analyzes 33 cases of esophageal small cell carcinoma admitted in our hospital and 204 cases of domestic published literature in the past 4 years. The incidence rate was 1.19%, the ratio between males and females was 28:1, and 75.0% were patients over the age of 50. The one-year survival rates for surgery alone, radiotherapy, and chemotherapy were 17.5%, 19.0%, and 22.2%, while the one-year survival rate for surgery + chemotherapy or/and radiotherapy, radiotherapy + chemotherapy was 60.0%, and 54.1%, there was a significant difference between simple treatment and comprehensive treatment (P<0.001). This group of data suggests that the scope of extended resection and thorough regional lymph node dissection, combined with planned comprehensive treatment can significantly prolong the patient’s survival.