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目的探讨切除胃小弯管状胃与食管分层套入吻合法在预防吻合口瘘、吻合口狭窄和抗返流作用。方法采用切除胃小弯管状胃与食管分层套入吻合法治疗食管癌145例,贲门癌131例。结果术后10~14d行X线钡剂透视,吻合口均通过顺畅,未见吻合口瘘及狭窄,未见钡剂返流入吻合口上方。术后随访10~12个月,未见吞咽困难,无胸骨后灼热痛。结论切除胃小弯管状胃与食管分层套入吻合法,操作简单,吻合口宽畅,血运好,且呈活瓣作用,对预防吻合口瘘、狭窄和抗返流作用效果显著,值得推广应用。
Objective To investigate the effect of resection of small stomach bended stomach and esophageal mucosa in the prevention of anastomotic leakage, anastomotic stenosis and anti-reflux function. Methods 145 cases of esophageal cancer and 131 cases of cardia cancer were treated with resection of gastric small bended gastric tube and esophageal layer by layered anastomosis. Results X-ray barium fluoroscopy was performed 10 ~ 14 days after operation. All the anastomoses passed smoothly, no anastomotic fistula and stenosis were observed, and no barium refluxed into the anastomotic site. All patients were followed up for 10 to 12 months. No dysphagia and no burning pain were found in the sternum. Conclusions The resection of small stomach bended stomach and esophageal mucosa resection anastomosis, simple operation, wide anastomosis, good blood supply, and the role of flap, the prevention of anastomotic fistula, stenosis and anti-reflux effect is significant, it is worth Promote the application.