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目的：为了预防贲门癌切除术后食管胃吻合口的并发症，为此特设计一适用于治疗责门癌的食管胃吻合的新方法，即衣袋状食管胃粘膜吻合术。方法：以新的吻合方法对１８９例责门癌切除术后的患者，在主动脉弓下采用衣袋状食管胃粘膜吻合术。结果： １８９例患者术后经 Ｘ线钡餐造影检查显示：吻合口直径在 ０ ８～ １０ ｃｍ １５２例，吻合口直径＞ １． ０ ｃｍ ３７例。术后无吻合口并发症的发生，无手术死亡者。结论：衣袋状食管胃粘膜吻合术其操作简单，对责门癌术后吻合口瘘，吻合口狭窄，及近流性食管炎均具有确切有效的预防作用，具有临床实用价值。
OBJECTIVE: To prevent the complications of esophageal and gastric anastomoses after cardiac cancer resection, a new method for esophageal and gastric anastomoses for the treatment of cardiac cancer was designed. This is the sleeve-shaped esophageal gastric mucosa anastomosis. METHODS: A new anastomosis method was used to treat 189 patients who had undergone resection of carcinoma of the patency. Pocket-shaped esophageal gastric mucosa anastomosis was performed under the aortic arch. Results: Postoperative X-ray barium meal examination of 189 patients showed that the diameter of the anastomosis was 152 in 208cm and the anastomosis diameter was 1. 0 cm 37 cases. No anastomotic complications occurred after surgery, and no surgical death occurred. Conclusions: Pocket-shaped esophageal gastric mucosa anastomosis is simple in operation, and has an effective and effective preventive effect on postoperative anastomotic leakage, anastomotic stricture, and proximal esophagitis. It has clinical value.