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目的:减少和预防吻合口狭窄。方法:对1422例食管癌、贲门癌施术,吻合口行全层宽边不等距深浅交替吻合,然后将吻合口前壁中点浆肌层向下牵拉1.5cm形成V型包埋,进行追踪观察。结果:全部病例随访3～6个月,行X线钡餐透视吻合口直径均大于1cm,无1例狭窄,病人生活质量提高。结论:本方法简单,效果好,能防止吻合口狭窄,值得进一步探讨。
Purpose: To reduce and prevent anastomotic stenosis. Methods: A total of 1422 patients with esophageal and gastric cardia carcinoma were treated with anastomosis. The wide anastomosis of the anastomosis coincided with the width and breadth of the anterior lamina. The anterior muscle of the anterior stapled wall was pulled downward by 1.5cm to form V- Follow-up observation. Results: All the cases were followed up for 3 to 6 months. The diameters of X-ray barium meal anastomosis were all larger than 1 cm, none of them was narrow and the quality of life of the patients was improved. Conclusion: The method is simple and effective, can prevent anastomotic stenosis, it is worth further study.