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1986年以来对 Wooler 和 Redo 的“隧道式”食管胃吻合加以改进,行食管、贲门癌手术242例,无一例发生吻合口瘘。经临床观察、随访、钡餐、食管镜检及粘液 pH 值测定证实优于其它方法。头低脚高钡餐检查65例,仅1例吻合口0.5 cm,大多数都在0.5～2.0cm,3例有轻度返流。食管镜检及活检60例,除20例有轻度水肿充血外,其余40例粘膜正常,食管粘液 pH 值5～7的有42例,>7的有18例,以上两项都说明无返流性食管炎发生。
Since 1986, Wooler and Redo's “tunnel” esophagogastric anastomosis has been improved and 242 cases of esophageal and cardiac cancer have been performed. No case of anastomotic leakage occurred. Clinical observation, follow-up, barium meal, esophageal microscopy, and measurement of mucus pH proved to be superior to other methods. Head-down barium meal examination in 65 cases, only one case of anastomotic 0.5 cm, most are 0.5 to 2.0 cm, 3 cases have mild reflux. Esophageal microscopy and biopsy were performed in 60 cases. Except 20 cases with mild edema and hyperemia, the other 40 cases had normal mucosa. There were 42 cases of esophageal mucous pH values from 5 to 7 and 18 cases of >7. The above two items all indicated that there was no return. Flow esophagitis occurs.