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目的：报告并评价1986年9月至1995年12月外科治疗32例伴有糖尿病的食管贲门癌病人手术效果。方法：对伴有糖尿病的食管贲门病人进行分型、分期，术前、术中、术后监测血糖、尿糖、生化值变化，进行严格的用药和管理，并通过回顾并统计来了解外科手术的效果。结果：发生各种并发症16例，其中吻合口瘘5例。全组死亡2例。结论：作者认为，加强围术期的管理；对糖尿病针对性用药；通过给予特殊的肠内肠外营养及调整食物结构；伴糖尿病的食管贲门癌病人应及时接受外科手术治疗。
OBJECTIVE: To report and evaluate the surgical outcome of surgical treatment of 32 patients with esophageal and cardiac cancer associated with diabetes from September 1986 to December 1995. Methods: Patients with esophageal cardia associated with diabetes were classified and staged. Blood glucose, urine glucose, and biochemical values were monitored before, during, and after surgery. Strict medication and management were performed. Surgical procedures were reviewed through review and statistics. Effect. Results: There were 16 cases of various complications, including 5 cases of anastomotic leakage. The whole group died in 2 cases. Conclusion: The authors believe that perioperative management should be strengthened; targeted diabetes should be used; special intestinal enteral nutrition should be given and food structure should be adjusted; esophageal and cardiac cancer patients with diabetes should receive timely surgical treatment.