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目的:进一步探讨食管床内胃代食管颈部吻合治疗食管癌的手术适用范围与改进措施。方法:对我院1996年至1998年采用食管床内胃代食管颈部吻合术治疗的61例食管癌患者进行研究,主要分析该术式的优缺点及手术操作的改进措施。结果:本组治愈出院59例。发生并发症4例(占6.6%),其中死亡2例(占3.3%),一例术中奇静脉损伤大出血死亡,另一例因术后严重肺部感染并吻合口瘘死亡;其余2例分别为肺不张与心律失常,经治疗痊愈。结论:该术式适用于胸部各段食管癌;通过改进术中操作,取得较好疗效。
Objective: To further explore the esophageal bed of gastric esophageal anastomosis for the treatment of esophageal cancer surgical range and improvement measures. Methods: A total of 61 patients with esophageal cancer undergoing esophagectomy and esophageal anastomosis in our hospital from 1996 to 1998 were studied. The advantages and disadvantages of the operation and the improvement measures were analyzed. Results: 59 cases were cured in this group. Complications occurred in 4 cases (6.6%), of which 2 died (3.3%), one died of massive bleeding due to azygos vein injury and the other died of severe pulmonary infection and anastomotic leakage. The other 2 cases were Atelectasis and arrhythmia, after treatment healed. Conclusion: The technique is suitable for all stages of esophageal cancer in the thorax. By improving intraoperative operation, a better curative effect can be obtained.