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目的 :报告 2 9例防止食管胃 (肠 )吻合口瘘、狭窄及反流的临床研究。方法 :常规方法行食管、贲门癌切除 ,采用食管成形、插入胃 (肠 )腔、胃 (肠 )包套吻合方法。结果 :2 9例无 1例吻合口瘘及反流 ,只发生 1例吻合口狭窄经扩张治愈。结论 :成形、插入、包套食管胃 (肠 )吻合术 ,有效地防止了吻合口瘘、狭窄及反流的发生 ,适应于各段食管癌、贲门癌及老年营养情况差的病人 ,亦适应结肠代食管的吻合手术。
Objective: To report 29 cases of esophageal (intestinal) anastomotic fistula, stenosis and reflux of clinical research. Methods: Conventional methods of esophageal and gastric cardia resection, the use of esophageal formation, the stomach (intestine) cavity, stomach (intestine) package anastomosis. Results: None of 29 cases had anastomotic fistula and reflux, only one case of anastomotic stenosis was cured by dilatation. Conclusion: Forming, inserting and enveloping esophagogastric (gut) anastomosis effectively prevent the occurrence of anastomotic fistula, stenosis and reflux, adapt to esophageal cancer, cardia cancer and elderly patients with poor nutritional status, and also adapt to Colon on behalf of the esophagus anastomosis.