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报告1991年~1995年6月应用食管胃吻合植入套筒法302例的临床总结。本术式是在胃前壁(或后壁)无血管区,于胃浆肌层与粘膜下层之间一定范围内分开,食管全层与胃粘膜层吻合,再将胃浆肌层上提,与吻合口上方的食管肌层作两层全周缝合固定,使食管末段植入套叠成筒状的胃壁中,吻合口突入胃腔中。此术式对预防吻合口并发症、吻合口瘘、狭窄和返流性食管炎,取得了良好效果。作者讨论了其预防吻合口并发症的作用机理。
The clinical summary of 302 cases of esophagogastric anastomosed implantation sleeve method from 1991 to June 1995 was reported. This surgical method is in the anterior gastric wall (or posterior wall) of the avascular area, separated in a certain range between the muscle layer of the gastric mucosa and the submucosa, the esophagus full layer is consistent with the gastric mucosa layer, and then the muscle layer of the gastric pulp is lifted. Two layers of the esophageal muscular layer above the anastomosis were sutured and fixed so that the end of the esophagus was implanted into a cylindrical stomach wall. The anastomosis port protruded into the stomach cavity. This operation has achieved good results in the prevention of anastomotic complications, anastomotic leakage, stenosis, and reflux esophagitis. The authors discussed its mechanism of action to prevent anastomotic complications.