我院自1975年～1985年共手术切除食管癌,贲门癌1316例。发生食管胃吻合口瘘44例,发生率为3.34％。经手术及保守治疗治愈22例,治愈率为50％。本文就治愈的22例进行分析并与同期(临床病理分期)大组病例对比,认为影响其预后原因主要决定于临床分期及肿瘤的生物学行为,其次是患者接受综合治疗的情况。现报告如下。 Our hospital had surgical resection of esophageal cancer from 1975 to 1985, and 1316 cases of cardia cancer. Occurrence of esophageal anastomotic fistula occurred in 44 cases, the incidence was 3.34%. 22 cases were cured by surgery and conservative treatment, and the cure rate was 50%. In this article, 22 cases of cure were analyzed and compared with the same period (clinical pathological stage) of the large group of cases. It was believed that the main reason affecting the prognosis was clinical stage and the biological behavior of the tumor, followed by the case of patients receiving comprehensive treatment. The report is as follows.