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1980年1月~1997年12月,对45例食管病变采用显微外科技术进行重建,其中男35例,女10例。多种原因致食管狭窄21例,食管重建后吻合口瘘或狭窄7例,晚期食管癌17例。采用部分带蒂空肠游离移植24例,空肠游离移植15例,空肠瓣游离移植2例,前臂皮瓣游离移植4例。经6个月~17年随访,有8例死于晚期食管癌,成活37例均能经口进食,良性病变者均能恢复工作。该术式对晚期食管癌不能经口进食的患者,提高了生活质量,并为化疗、放疗提供了条件
From January 1980 to December 1997, 45 cases of esophageal lesions were reconstructed using microsurgical techniques, including 35 males and 10 females. There were 21 cases of esophageal stenosis due to multiple causes, 7 cases of anastomotic leakage or stenosis after esophageal reconstruction, and 17 cases of advanced esophageal cancer. Twenty-four patients were freely transplanted with partial jejunal jejunum, 15 were jejunum free transplants, 2 were free jejunal flaps, and 4 were forearm flaps. After 6 months to 17 years of follow-up, 8 patients died of advanced esophageal cancer, 37 of them survived oral feeding, and benign lesions were able to resume work. This procedure improves the quality of life of patients with advanced esophageal cancer who are unable to eat orally, and provides conditions for chemotherapy and radiotherapy.