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我院于1979年曾采用结肠代食管、坏死胃旷置治愈食管癌术后胃壁坏死1例,1986年我们又采用同样术式治愈胸内食管胃吻合口瘘1例,现报道如下:男性,63岁,于1986年5月29日因进行性下咽噎阻3个月入院。x线钡餐检查示食管中段4cm充盈缺损,粘膜破坏,食管镜检查:距门齿25cm处见外突性肿物,病理报告为鳞状细胞癌。1986年6月3日行顺氯氨铂140mg,平阳霉素10mg冲击化疗1次,15天后在全麻下行食管癌根治术。右侧开胸切除食管及肿瘤,左侧颈部食管胃吻合术。术后第6天床旁摄片发现右侧液气胸,行
In 1979, our hospital had used the colon to replace the esophagus, necrosis of the gastric fistula to cure a case of gastric wall necrosis after esophageal cancer. In 1986 we also used the same surgical method to cure an intranasal esophagogastric anastomotic fistula in 1 case. Now reported as follows: Male, He was 63 years old and was admitted to hospital on May 29, 1986 for progressive hypopharyngeal obstruction for 3 months. X-ray barium meal examination showed a 4cm filling defect in the middle of the esophagus, mucosal damage, esophagoscopy: external convex tumors were seen 25cm from the incisors, pathological reports were squamous cell carcinoma. On June 3, 1986, cisplatin 140mg was administered, and Pingyangmycin 10mg was used for one-time impact chemotherapy. After 15 days, radical resection of esophageal cancer was performed under general anesthesia. The right side of the thoracotomy resected the esophagus and tumor, and the left neck was esophagogastric anastomosis. The right side liquid pneumothorax was found on the bedside radiography on the 6th day after operation.