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目的 分析食管胃植入式黏膜吻合术治疗食管癌、贲门癌的效果。方法 采用作者自行设计的食管胃植入式食管黏膜和胃黏膜吻合术治疗食管癌、贲门癌共 12 3 6例。吻合后胃浆肌层、食管肌层、黏膜吻合线在三个不同平面。结果 食管癌 842例 ,贲门癌 3 94例 ;其中咽下胃吻合 15例 ,食管胃颈部吻合 193例 ,弓上吻合 63 4例 ,弓下吻合 3 94例。 1例因难治性心肌缺血于术后2 4h死亡 ,2例呼吸衰竭死亡。本组无吻合口瘘、狭窄 ,无返流性食管炎发生。结论 食管胃植入式黏膜吻合术是防止吻合口瘘、吻合口狭窄、返流性食管炎的有效方法
Objective To analyze the effect of esophageal and gastric mucosal anastomosis in the treatment of esophageal and cardiac cancer. Methods Esophageal and esophageal mucosa and gastric mucosal anastomosis designed by the authors were used to treat esophageal and gastric cardia cancer in a total of 123 6 cases. Anastomosis stomach muscle layer, esophageal muscle layer, mucosal anastomosis in three different planes. Results There were 842 cases of esophageal cancer and 3 94 cases of cardiac cancer. Among them, 15 cases had swallowing stomach anastomosis, 193 cases esophagogastrostomy, 634 cases with anastomosis, and 3 94 cases with anastomosis under the arch. One patient died of refractory myocardial ischemia at 24 hours after operation and two died of respiratory failure. This group of non-anastomotic fistula, stenosis, non-reflux esophagitis occurred. Conclusion Esophageal and gastric mucosal anastomosis is an effective method to prevent anastomotic fistula, anastomotic stricture and reflux esophagitis