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食管癌、贲门癌切除术后吻合口瘘是一种严重并发症，而胸胃穿孔较少见，发生率为02％～1．0％[1，2]。两者的临床表现相似，治疗及预后不同。前者再次手术修补失败率高，而后者常可愈合[3]。我院自1979年4月至1995年6月行食管瘤、贲门癌切除食管胃吻合术共1899例，术后发生吻合
Anastomotic leakage after esophageal or cardiac cancer resection is a serious complication, and perforation of the thoracic stomach is less common, and the incidence is between 02% and 1.0% [1,2]. The clinical manifestations of the two are similar, treatment and prognosis are different. The former has a high failure rate of re-operational repair, while the latter often healed [3]. In our hospital from April 1979 to June 1995, 1899 cases of esophagogastric anastomosis were performed for esophagectomy and cardiac cancer resection.