本文分析12例吻合口瘘发生的有关因素。严格把住术前准备,术中操作和术后护理这三关,这是降低吻合口瘘的关键。根据吻合口痿的临床表现与体征,不难诊断。本文总结了吻合口瘘的治疗方法,提倡尽早作胸腔闭式引流,或加作空肠造瘘,创造条件,使瘘口愈合。 This article analyzed 12 factors related to the occurrence of anastomotic leakage. Strictly pre-operative preparation, intraoperative operation and postoperative care are the three key points, which is the key to reducing the anastomotic leakage. According to the clinical manifestations and signs of anastomotic leakage, it is not difficult to diagnose. This article summarizes the treatment of anastomotic fistulas and advocates for closed drainage as soon as possible, or for jejunostomy, creating conditions that will heal the fistula.