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目的探讨食管癌、贲门癌术后胸胃无力症的发生机理及预防。方法结合100例动物实验结果分析2006年~2012年本科210例行食管癌、贲门癌切除术患者临床资料。结果本组所有胸内吻合患者(203例)同期行人工胃底重建术后无胸胃无力症出现。结论胸胃无力症的发生与多种因素相关,胃底起步点学说不能成立,食管癌、贲门癌切除食管胃胸内吻合术后同期人工胃底重建是降低胸胃无力症发生率的有效办法。
Objective To investigate the pathogenesis and prevention of postoperative esophageal and cardia cancer thorax and stomach dysfunction. Methods The clinical data of 210 patients undergoing esophagectomy and gastric cardia resection from 2006 to 2012 were analyzed based on the results of 100 animal experiments. Results All patients with thoracic anastomosis in this study (203 cases) underwent non-thoracic gastrogastrophy after artificial fundus reconstruction. Conclusions The incidence of thorago and gastrectomy is related to many factors. The theory of the starting point of stomach fundus can not be established. The resection of esophageal and cardiac resections esophagogastrostomy with artificial gastric fundus reconstruction is an effective way to reduce the incidence of thorax and gastrectomy .