目的减少和预防吻合口狭窄。方法对1422例食管癌、贲门癌施术，吻合口行全层宽边不等距深浅交替吻合，然后将吻合目前壁中点浆肌层向下牵拉1．5cm形成V型包埋，进行追踪观察。结果全部病例随访3～6个月，行X线钡餐透视吻合口直径均大于Icm，无一例狭窄，病人生活质量提高。结论本方法简单，效果好，能防止吻合口狭窄，值得进一步探讨。 Objective To reduce and prevent anastomotic stenosis. Methods A total of 1422 cases of esophageal and cardiac cancers were performed. The anastomoses were alternately anastomosed at the depth and depth of the full-thickness wide margin. Then the anastomosis was performed. Follow the observation. Results All cases were followed up for 3 to 6 months. The diameter of the anastomotic incision in X-ray barium meal was greater than 1 cm, and there was no case of stenosis. The patient’s quality of life was improved. Conclusion This method is simple, effective, and can prevent anastomotic stenosis. It is worth further discussion.