对7例应用胸大肌肌皮瓣Ⅰ期重建下咽及颈段食管癌术后组织缺损,吞咽功能恢复率85.7%(6/7),吻合口瘘、吻合口狭窄发生率14.3%(1/7).1年及2年生存率分别为83.3%(5/6)和60.0%(3/5).作者认为对下咽和病变位于胸廓入口上方的颈段食管癌术后的上消化道缺损,用该皮瓣Ⅰ期重建,操作简便、安全,成功率高,效果好. Seven patients with pectoralis major myocutaneous flaps were used to reconstruct the tissue defect of the hypopharyngeal and cervical esophageal carcinoma. The recovery rate of swallowing function was 85.7% (6/7), and the incidence of anastomotic leakage and anastomotic stenosis was 14.3% (1 /7). The 1-year and 2-year survival rates were 83.3% (5/6) and 60.0% (3/5), respectively. The authors believe that the upper digestive tissue of the cervical esophageal cancer is located in the upper thoracic region above the thoracic inlet. Road defect, using the flap I reconstruction, operation is simple, safe, high success rate, good effect.