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食管胃吻合后,吻合口病变常可遇到,文献少见完整报导,本文收集此类病变115例,进行X线分析。 男性99例,女性16例。年龄28～70岁。食管癌74例、贲门癌39例、食管炎症和憩室各1例。 术后半个月内的临床症状多为发热、胸痛、咳嗽、气急。6个月后可能出现吞咽困难、恶液质等。 食管胃颈部吻合18例,主动脉弓上吻合45例,弓下吻合49例、腹腔吻合3例。
After the esophagogastric anastomosis, anastomotic lesions can often be encountered. The literature is rarely reported in complete literature. 115 cases of this type of lesions were collected for X-ray analysis. There are 99 males and 16 females. Age 28 to 70 years old. There were 74 cases of esophageal cancer, 39 cases of cardiac cancer, 1 case of esophageal inflammation and 1 case of diverticulum. The clinical symptoms within half a month after surgery were mostly fever, chest pain, cough, and shortness of breath. Dysphagia, cachexia, etc. may occur after 6 months. There were 18 cases of esophagogastric neck anastomosis, 45 cases of aortic arch anastomosis, 49 cases of anastomosis under the arch and 3 cases of celiac anastomosis.