我院自1992年12月～1995年12月共收治食管、贲门癌160例,肿瘤切除后,行端端手法吻合术,仅2例发生吻合口瘘,使吻合口瘘发生率大为下降。现就吻合口瘘的预防经验体会介绍如下。 1 手术操作细致、准确、不要对食管断端过度揉搓及牵拉,损伤食管肌层,造成食管撕脱,吻合困难,易成吻合口瘘。 In our hospital from December 1992 to December 1995, a total of 160 cases of esophageal and cardia cancers were treated. After tumor resection, end-to-end anastomosis was performed. Only 2 cases of anastomotic leakage occurred and the incidence of anastomotic leakage was greatly reduced. The experience of prevention of anastomotic leakage is described below. 1 Surgical operation is meticulous, accurate, not to excessively rub and pull the esophageal stump, damage the esophageal muscularis, cause esophageal avulsion, anastomosis is difficult, and it is easy to become an anastomotic stoma.