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作者等１９８９～１９９５年详细观察和处理食管癌切除食管胃颈部吻合术后颈部瘘１６例，男１０例，女６例。分别发生于术后第４～１５天。其中食管穿孔１例、吻合口瘘１０例和胃壁坏死穿孔５例。胃壁大片状坏死３例、小片状坏死１例、多点状坏死１例。全组均采用保守治疗，１５例治愈，胃壁大片状坏死死亡１例．作者等认为应注意对颈部瘘不同情况的识别，其原因较为复杂。预防应从多方面着手，治疗上强调对胃壁坏死以及严重的吻合口瘘应置负压吸引管引流，同时要警惕瘘入胸内。
From 1989 to 1995, the authors observed and treated the esophagogastric neck anastomosis in 16 cases with neck dissection. There were 10 males and 6 females. Occurred on the 4th to 15th days after surgery. One case of esophageal perforation, 10 cases of anastomotic leakage, and 5 cases of necrotic perforation of the stomach wall. There were 3 cases of massive necrosis of the stomach wall, 1 case of patchy necrosis, and 1 case of multi-spot necrosis. All groups were treated conservatively, 15 patients were cured, and 1 case died of large necrosis of the stomach wall. The authors believe that attention should be paid to the identification of different conditions of the neck spasms, and the reasons are more complicated. Prevention should start from many aspects. The treatment emphasizes that necrosis of the stomach wall and severe anastomotic leakage should be carried out by suction suction tube drainage. At the same time, we must be vigilant into the chest.