作者;杨磊，蒋俭，于涛，李建业
［摘要］ 目的 总结结肠代食管治疗食管腐蚀性瘢痕狭窄的经验及效果。方法 采用结肠代食管治疗36例食管腐蚀性瘢痕狭窄的患者，均经胸骨后径路上提结肠、腐蚀性食管狭窄段旷置，4例合并下咽闭锁的病人分两期手术。结果 全组无手术死亡病例，手术经过较为顺利，病人营养状况及生活质量较术前提高。结论 结肠代食管术治疗食管腐蚀性瘢痕狭窄较为理想，食管狭窄段可旷置，分两期手术治疗合并下咽闭锁的术式，值得临床推广。
［关键词］ 结肠代食管术；食管腐蚀性瘢痕狭窄
Colon interposition for caustic stricture of esophagus
［Abstract］ Objective To review operative experiences of colon interposition for caustic stricture of esophagus.Methods Thirty-six patients with caustic esophageal stricture were treated with colon interposition，the colon were brought up to the neck by retrosternal route and the esophagus were performed exclusion，four patients with atresic hypopharynx were treated with two staged operations.Results There was no death，the operations were auspicious，the nutritures and life qualities of the patients after operations were better than before.Conclusion colon interposition is an ideal method for treating caustic stricture of esophagus，the strictured esophagus can be excluded，two staged operations treat atresic hypopharynx is worthy to be popularized.
［Key words］ colon interposition；caustic esophageal stricture
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