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目的:探讨食管、贲门癌术后吻合口狭窄的原因及治疗。方法:通过分析51例术后吻合口狭窄病人情况,包括症状、术后钡餐透视检查、胃纤镜检查、胸部CT检查等资料结合手术情况分析引起吻合口狭窄原因,对发生吻合病例予行包括使用沙氏管食管扩张术、支架植入及外科手术治疗等方法治疗。结果:51例病人的吻合口狭窄情况有不同程度的减轻。结论:食管贲门癌术后吻合口狭窄与多种因素有关。积极治疗可取得满意效果,改善生活质量。
Objective: To investigate the causes and treatment of anastomotic stenosis after esophageal and cardiac cardiac surgery. Methods: The reasons of anastomotic stenosis caused by anastomotic stenosis were analyzed including 51 cases of postoperative anastomotic stenosis, including the symptoms, postoperative barium meal fluoroscopy, gastroscopy, chest CT examination and other data. Sagittal tube esophageal dilatation, stent implantation and surgical treatment of other methods of treatment. Results: The anastomotic stenosis of 51 patients had different degrees of relief. Conclusions: The anastomotic stricture of esophageal and cardial carcinoma is related to many factors. Active treatment can achieve satisfactory results, improve the quality of life.