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目的 探讨小包埋吻合法与大包埋吻合法对食管癌及贲门癌手术后吻合口瘘、狭窄、反流这三大并发症的影响。方法 回顾总结 9年 478例 (小包埋法 2 46例 ,大包埋 2 32例 )两种不同吻合法的随访结果 ,并作对比分析。结果 大包埋吻合法在防止吻合口瘘、吻合口狭窄及反流方面 ,均优于前者。结论 大包埋吻合法是防止食管胃吻合口瘘、狭窄及反流的有效方法之一 ,操作简单 ,安全可靠 ,值得推广。
Objective To investigate the effects of small incision anastomosis and large-incision anastomosis on three major complications of anastomotic leakage, stenosis, and reflux after esophageal and cardiac cancer surgery. Methods The follow-up results of two different anastomosis methods were retrospectively reviewed in 478 cases (2 46 cases with small embedded method and 32 cases with large embedding method) in 9 years and compared. Results The large-incision anastomosis method was superior to the former in preventing anastomotic leakage, anastomotic stricture, and reflux. Conclusion The large-incision anastomosis method is one of the effective methods to prevent esophagogastric anastomotic leakage, stricture and regurgitation. It is easy to operate, safe and reliable, and worthy of popularization.