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食道癌根治术后颈部食道胃吻合口狭窄虽已引起多数作者重视。本文随访报告2例: 例1,男性,48岁,1981年10月行中段食道癌根治切除、颈部食道胃吻合术,切口Ⅰ期愈合。术后长期吞咽困难,造影示吻合口内径仅2mm,除明显消瘦外无复发及转移证据。1982年4月20日手术探查示游离粘连,切除原切口疤痕挛缩部分长约2cm,病理检查为疤痕组织。随访13个月患者可进普食,适应正常工作,吻合口通畅。
Although most of the authors have paid attention to the anastomosis stenosis of the esophagus and stomach after esophagectomy. Follow-up report of this case in 2 cases: Example 1, male, 48 years old, in October 1981 the middle segment of esophageal cancer radical resection, neck esophagogastric anastomosis, incision healing. After long-term dysphagia after operation, the angiogram showed that the internal diameter of the anastomosis was only 2 mm. No evidence of recurrence or metastasis was found except for obvious weight loss. On April 20, 1982, surgical exploration revealed free adhesions. The length of the incision scar was about 2 cm. The pathological examination was scar tissue. After 13 months of follow-up, the patients were allowed to eat normal food and adapt to normal work.