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目的 :探讨食道及贲门癌的手术治疗方法。方法 :总结 1991年 3月至 2 0 0 1年 4月本科收治 6 3例食道贲门癌临床资料 ,分析胃间置Roux -Y对抗返流 ,减轻胸腔胃对呼吸功能的影响及防止胃排空障碍的作用。结果 :全部病例均治愈出院 ,8例有轻度返流 ,无严重返流病例 ,2例早期出现排空障碍 ,1例出现颈部吻合口瘘。结论 :胃间置Roux -Y术式治疗食管和贲门癌有良好效果。
Objective: To explore the surgical treatment of esophageal and cardiac cancer. Methods: To summarize the clinical data of 63 cases of esophageal and gastric cardia admitted to our hospital from March 1991 to April 2001, to analyze the effect of Roux -Y against gastric reflux, to reduce the influence of thoracic stomach on respiratory function and to prevent gastric emptying Obstacle effect. Results: All the cases were cured and discharged. There were 8 cases with mild reflux and no severe reflux, 2 cases had early emptying disorder and 1 case had anastomotic fistula. Conclusion: Intragastric Roux -Y surgical treatment of esophageal and gastric cardia have good results.