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目的食管癌手术后吻合口瘘和吻合口狭窄的并发症已明显下降，而反流性食管炎已成为影响术后患者生活质量的主要并发症。为此设计了食管粘膜层经胃壁肌层下隧道行食管胃吻合术。方法食管粘膜层经隧道食管胃吻合术１７５例，其中２０例与同期隧道式食管胃吻合术２０例进行对比研究。术后６～１２个月，行食管压力测定、食管镜检查、组织活检和食管内反流液ｐＨ值测定。结果２组患者术后均无吻合口瘘发生，无手术死亡。结论该术式具有明显地抗反流作用，可预防反流性食管炎的发生
The complications of anastomotic leakage and anastomotic stricture after esophageal cancer surgery have been significantly reduced, and reflux esophagitis has become a major complication that affects postoperative patient quality of life. To this end, the esophageal mucosal layer was designed to perform esophageal and gastric anastomosis through the submucosal tunnel of the stomach wall. Methods A total of 175 cases of esophagogastric anastomosis were treated with esophagogastric esophagectomy, and 20 cases were compared with 20 cases of tunnel esophagogastric anastomosis. Six to 12 months after operation, esophageal pressure measurement, esophagoscopy, tissue biopsy, and esophageal reflux fluid pH were measured. Results No postoperative anastomotic leakage occurred in both groups, and no operative death occurred. Conclusion The operation has obvious anti-reflux effect and can prevent the occurrence of reflux esophagitis