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目的通过改进缝合方式探讨预防食管胃吻合口瘘和吻合口狭窄的方法。方法对46例食管癌和贲门癌切除术病例采用单层“8”字缝合法行食管胃吻合．并与同期行单纯缝合法42例作对比观察。结果“8”字缝合组无吻合口瘘和吻合口狭窄发生，单纯缝合组吻合口瘘3例，轻、中度吻合口狭窄4例。结论食管胃吻合口采用改进的单层“8”字缝合法操作简便，可靠，是一种比较理想的缝合方法。
Objective To explore ways to prevent esophagogastric anastomotic leakage and anastomotic stenosis by improving suturing methods. Methods Forty-six cases of esophageal and cardiac cancer resection were treated with esophagogastric anastomosis using single-layer “8” stitching. And compared with the same period of simple suture method for 42 cases for comparison observation. Results No anastomotic fistula and anastomotic stenosis occurred in the “8” suture group. There were 3 cases of anastomotic leakage in the simple suture group and 4 cases of mild and moderate anastomotic stricture. Conclusion The improved single-layer “8” stitching method for esophagogastric anastomosis is simple and reliable. It is an ideal suture method.