近年来食管贲门癌切除术日趋普及,因吻合技术欠佳等原因,常见有吻合口狭窄的发生。我院自1992年以来,经吻合口扩张术或扩张后放置记忆合金支架治疗16例吻合口狭窄,临床疗效较好,现报道如下。 1 临床资料 16例行临床梗阻症状及上消化道钡透摄片确诊的食管贲门癌术后吻合口狭窄病例中,男12例,女4例。年龄43～76岁,平均54.1岁。狭窄发生时间:3个月以内9例,4～6个月5例,6个月以上2例。狭窄部位:主动脉弓以上者5例,贲门癌切除及弓下者11例。其中12例行扩张术加药物治疗,4 In recent years, esophageal cancer resection is becoming more common, due to poor anastomosis and other reasons, the common occurrence of anastomotic stenosis. Our hospital since 1992, by anastomosis or expansion after the memory alloy stent placed in 16 cases of anastomotic stenosis, clinical efficacy is better, are reported below. 1 clinical data of 16 cases of clinical obstruction symptoms and barium through the upper digestive tract confirmed esophageal and gastric cardia cancer anastomotic stenosis cases, 12 males and 4 females. Age 43 to 76 years old, average 54.1 years old. Stenosis occurred in 9 cases in 3 months, 5 cases in 4 ~ 6 months and 2 cases in 6 months. Stenosis: aortic arch more than 5 cases, cardiac resection and bow in 11 cases. Twelve of them underwent dilation and drug treatment, 4