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为了预防食管贲门癌手术后的三大并发症:吻合口瘘、狭窄和反流性食管炎。采用食管环形肌和食管—胃粘膜瓣成形术方法来重建贲门括约功能。结果60例食管贲门病人接受贲门再造术,全组病人术后未发生吻合口瘘、吞咽困难和反流性食管炎。经钡餐和胃镜检查显示重建的贲门有类似括约功能。认为贲门重建术在食管贲门癌手术中是可行的。
In order to prevent the three major complications after surgery for esophageal and cardiac cancer: anastomotic leakage, stenosis, and reflux esophagitis. The esophageal circular muscle and esophageal-gastric mucosal flap angioplasty were used to reconstruct cardiopulmonary function. [Results] 60 cases of esophageal cardiac patients underwent cardia reconstruction. There was no anastomotic leakage, dysphagia and reflux esophagitis in the whole group. Barium meal and gastroscopy showed a similar sphincter function in the reconstructed fontanelle. It is considered that cardiac reconstruction is feasible in esophageal and cardiac cancer surgery.