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广泛性食管腐蚀伤后,用结肠代食管手术治疗时,常遇到食物返流及吻合口狭窄问题。为此作者设计了一种Y型咽-结肠双吻合术,通过6例的实践,效果良好。方法:根据颈段食管管腔情况,有两种方式可供选择。(1) Y型食管-咽-结肠切开双吻合,适用于有一段颈段食管通畅度良好的病例,上方为咽侧切开与上提的结肠断端行侧-端吻合,下方为颈段食管断端与结肠侧壁行端-侧吻合;(2) Y型咽-结肠双吻合,适用于颈段食管闭锁的病例,上面的吻合口为咽壁与结肠断端的侧端吻合,下面的吻合口为下咽断端
Extensive esophageal corrosion injury, the use of colon replacement esophageal surgery, often encountered food reflux and anastomotic stenosis problems. For this reason, the author designed a Y-pharyngeal-colon double anastomosis. The results were good in 6 cases. Methods: There are two ways to choose according to the condition of the cervical esophageal lumen. (1) Type Y esophageal-pharyngeal-colonic anastomosis with double anastomosis, suitable for cases with a good degree of cervical patency of the esophagus. The upper part of the pharyngeal incision and the upwardly-swept colon end are lined with a side-to-end anastomosis. The lower part is a neck. The segmental esophageal stump was lined with the side wall of the colon; (2) The pharyngeal-colon double anastomosis was used in the case of cervical esophageal atresia, and the anastomosis was the side-to-side anastomosis between the pharyngeal wall and the colon stump. Anastomotic stoma