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目的 减少下咽及颈段食管癌术后返流、吻合口瘘及狭窄等并发症。方法 使咽粘膜与延长的胃粘膜吻合,咽肌与胃浆膜肌层包埋,因延长的胃粘膜自身折叠形成的粘膜瓣乳头状突入胃腔。结果 接受治疗的患者28例术后均能顺利吞咽糊状及固体食物,并全部康复。除1例发生吻合口瘘(3.5％)外,其他患者无明显不适,吞钡后取头低足高位未见明显返流。结论 咽胃粘膜乳头状吻合术可有效地防止下咽及颈段食管癌患者术后并发症,并能提高患者的生存质量。
Objective To reduce complications such as postoperative reflux, anastomotic leakage and stenosis in patients with hypopharynx and cervical esophageal cancer. Methods The pharyngeal mucosa was anastomosed to prolonged gastric mucosa. The pharyngeal muscles were embedded in the muscularis mucosa of the stomach. The prolapsed gastric mucosa formed a papillary protrusion of papillary protrusion into the stomach cavity. Results All the 28 patients who received the treatment were able to swallow the paste and solid food successfully and recovered completely. Except for one case of anastomotic leakage (3.5%), there was no obvious discomfort in other patients. No significant reflux was found in the low-foot high position after swallowing. Conclusions Papillary papillary anastomosis can effectively prevent postoperative complications in patients with hypopharyngeal and cervical esophageal cancer and improve the quality of life of patients.