目的 :探讨食管憩室与癌肿的关系 ,总结其治疗经验。方法 :回顾性分析我院胸外科 2 6例食管憩室伴发食管及贲门癌手术治疗资料。结果 :2 4例食管憩室均位于癌肿之上 ,仅见 2例憩室癌变 ;本组Χ线钡餐检查癌肿漏诊率为2 6.9% ,术前内镜检查癌肿确诊率 10 0 % ;2 5例均行癌肿与憩室一并切除术 ,1例贲门癌伴发食管中段憩室 ,癌肿切除后单纯行憩室切除及壁修补术 ,全组无手术并发症发生。结论 :食管憩室合并疾患较多 ,对于食管憩室患者尤其病程长者应行食管镜检 ,避免癌肿等疾患漏诊 ;治疗应食管憩室与癌肿一并切除 Objective: To explore the relationship between esophageal diverticulum and cancer and summarize the experience of treatment. Methods: A retrospective analysis of 26 cases of esophageal diverticulum with esophageal and cardiac surgery in our department of thoracic surgery. Results: Twenty-four cases of esophageal diverticulum were located above the tumor, with only 2 cases of diverticula canceration. The rate of missed diagnosis of barium meal in this group was 2 6.9%, and the diagnosis rate of preoperative endoscopy was 100%. Cases of cancer and diverticulum were performed resection, a case of cardia cancer with esophageal diverticulum, simple resection of the diverticulum after resection of the wall and wall repair, the whole group of non-surgical complications. Conclusions: Esophageal diverticulosis has more complications, esophageal diverticulum patients with esophageal disease in particular should be esophageal microscopy, to avoid misdiagnosis of cancer and other diseases; treatment of esophageal diverticula should be removed together with the cancer