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目的：探讨降低贲门癌切除后吻合口漏、吻合口狭窄和返流性食管炎的发生率。方法：自行设计了食管胃浆肌层瓣套入式吻合（“浆肌瓣式”） 治疗贲门癌并完成８４ 例，与常规食管胃套入式吻合（“套入式”） 治疗贲门癌２１２ 例进行对比研究。结果：经统计学处理表明“套入式”并发症发生率明显高于“浆肌瓣式”（ Ｐ＜ ０ ．０１） 。结论：作者认为“浆肌瓣式”吻合对预防吻合口漏、吻合口狭窄和返流性食管炎有良好的作用。
Objective: To investigate the incidence of anastomotic leakage, anastomotic stricture, and reflux esophagitis after resection of cardiac cancer. Methods: Self-designed esophagogastric muscle musculocutaneous flap anastomosis (“plasma-muscle flap”) was used to treat cardia carcinoma and completed 84 cases. Routine esophagogastric nesting anastomosis (“sleeve-in”) treatment of cardia cancer 212 Cases were compared. RESULTS: Statistical analysis showed that the incidence of “sleeve-in” complications was significantly higher than that of “plasmid-muscle flap” (P < 0.01). Conclusion: The authors believe that “plasmid flap” anastomosis has a good effect on prevention of anastomotic leakage, anastomotic stricture, and reflux esophagitis.