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目的评价胸内食管黏膜延长不同平面与胃、食管分层吻合术,探讨预防食管吻合口瘘和吻合口狭窄发生的吻合方法。方法回顾性总结1985年5月-2002年12月共进行胸腔内食管黏膜延长不同平面与胃、食管分层吻合术2 240例,统计手术后和出院后随访资料发生吻合口瘘和吻合口狭窄的情况。结果所有手术病例均未发生吻合口瘘和吻合口严重狭窄。结论食管、胃黏膜延长不同平面分层吻合术是预防吻合口瘘和吻合口狭窄的有效吻合方法。
Objective To evaluate the intrathoracic esophageal mucosal lengthening of different planes and stomach, esophageal stratified anastomosis to explore the prevention of esophageal anastomotic fistula and anastomotic stenosis occurrence of anastomosis. Methods From May 1985 to December 2002, a total of 2 240 cases of pleural esophageal mucosal lengthening of different planes and gastric and esophageal stratified anastomosis were retrospectively reviewed. Anastomotic leakage and anastomotic stenosis were observed after surgery and after discharge Case. Results All the surgical cases did not occur anastomotic fistula and anastomotic stricture. Conclusion Esophageal and gastric mucosal extension of different levels of stratified anastomosis is an effective anastomosis to prevent anastomotic fistula and anastomotic stenosis.