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为探讨食管癌术后胃排空障碍合理的治疗方法及预防措施，对１９８２～１９９５年间２７例食管癌术后胃排空障碍病人的临床资料进行回顾性分析。食管胃颈部吻合者２２例，胸内吻合者５例。占同期食管癌手术２４２７例的１．１％。１８例功能性胃排空障碍病人中１５例经保守治愈，３例死亡；９例机械性胃排空障碍病人经手术治愈。结论：食管癌术后胃排空障碍好发于食管胃颈部吻合者，多为功能性，少数为机械性。因治疗方法不同需强调二者的鉴别诊断。术中精细适度各项操作，可减少机械性胃排空障碍的发生
In order to explore the reasonable treatment methods and preventive measures of gastric emptying after esophageal cancer surgery, we retrospectively analyzed the clinical data of 27 cases of patients with gastric emptying after esophageal cancer from 1982 to 1995. There were 22 cases of esophagogastric and cervical anastomosis and 5 cases of intrathoracic anastomosis. It accounted for 1.1% of 2,427 esophageal cancer surgeries in the same period. Of the 18 patients with functional gastric emptying, 15 were treated conservatively and 3 died; 9 patients with mechanical gastric emptying were cured by surgery. Conclusion: Postoperative gastric emptying dysfunction in esophageal cancer occurs in the esophagogastric and cervical anastomosis. Most of them are functional and a few are mechanical. Due to different treatment methods, it is necessary to emphasize the differential diagnosis of the two. Fine intraoperative operations, can reduce the occurrence of mechanical gastric emptying disorders