作者1974～1983年,对156例食道、贲门癌患者行食道切除术,采用三种缝合法,进行食道、胃(或肠道)吻合术。其中采用双层包套缝合法96例,单层缝合法16例,分层缝合法44例。本组食道吻合瘘发生率为6.4％,其中分层缝合法吻合口瘘率较低(2.3％),双层包套缝合法吻合口狭窄发生率7.3％单层缝合法及分层缝合法未发生吻合口狭窄。分层缝合法重视断端对合,特别是粘膜下层对 From 1974 to 1983, 156 esophageal and cardia cancer patients underwent esophageal resection and three sutures were used for esophageal, gastric (or intestinal) anastomosis. Among them, 96 cases were double-covered sutures, 16 cases were single-layer sutures, and 44 cases were stratified sutures. The incidence of esophageal anastomoses in this group was 6.4%, of which the rate of anastomosis fistula was lower (2.3%), and the rate of anastomotic stenosis was 7.3% in a double-jacketed suture method. The single layer suture method and stratified suture method were not used. Anastomotic stenosis occurs. Hierarchical sutures emphasize end-to-end fit, especially submucosal pairs