本文对食管、胃层—层吻合术和全层吻合术进行比较观察。通过实验动物和临床病例术后随访,X线食管造影和食管镜检查,前一术式的吻合瘘发生率为0.4％,吻合口狭窄为2％,吞咽不适为36％;后一术式依次分别为4.2％,16％,72％。两者比较3项均有显著性差异。作者认为,层-层吻合术能显著地减少吻合口瘘和狭窄的发生。 This article compares esophageal, gastro-skin anastomosis and full-thickness anastomosis. After follow-up of experimental animals and clinical cases, X-ray esophagogram and esophagoscopy were performed. The rate of anastomotic spasm in the previous operation was 0.4%, anastomotic stenosis was 2%, and swallowing discomfort was 36%; the next operation was They were 4.2%, 16%, and 72% respectively. There are significant differences between the two items. The authors believe that layer-to-layer anastomosis can significantly reduce the incidence of anastomotic leakage and stricture.