本文介绍了国内外食管、贲门癌术后吻合口瘘发生情况,作者在1977—1985年间收治本病患者91例,经手术治疗的66例,78%做肿瘤切除,发生吻合口瘘5例,全部治愈,无一例死亡。文章探讨了发生吻合口瘘的原因,除认为手术所致外尚有病人体质、病程长短以及病变部位、营养、转移与否有关。同时术前准备不足,护理不当也是发生瘘的原因。 This article describes the occurrence of anastomotic fistula after surgery for esophageal and cardiac cancer at home and abroad. The authors treated 91 patients with this disease between 1977 and 1985. In 66 patients undergoing surgery, 78% performed tumor resection and 5 had anastomotic leakage. All were cured and none died. The article discusses the causes of anastomotic leakage, in addition to the physiology of the patient, the duration of the disease, and the location, nutrition, and metastasis. At the same time insufficient preparation before surgery, improper care is also the cause of delirium.