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目的：分析食管中上段癌颈部吻合术的临床价值。方法：５６例食管中上段癌手术取右开胸三切口颈部吻合术式。术后随访３～６月，对术后并发症作统计并与同期弓上吻合者作比较。结果：术后并发症５例，占８．９％；其中死亡１例，吻合口瘘２例，肺部感染２例。无吻合口狭窄，手术效果优于弓上吻合者。结论：高龄、术前肺功能减退者，围手术期应注意纠正低氧血症。食管中上段癌颈部吻合术是一种相对安全、有效的手术方法。
Objective: To analyze the clinical value of cervical anastomosis in the middle and upper esophagus. Methods: A total of 56 patients with upper middle esophageal cancer underwent right thoracotomy and three incision neck anastomosis. After 3 to 6 months of follow-up, postoperative complications were counted and compared with the bow anastomosis in the same period. Results: Postoperative complications occurred in 5 patients, accounting for 8.9%; 1 patient died, 2 had anastomotic fistula, and 2 had pulmonary infection. No anastomotic stenosis, the surgical effect is better than bow anastomosis. Conclusion: Elderly patients with preoperative pulmonary dysfunction should pay attention to correct hypoxemia during perioperative period. Esophageal mid-upper cervical cancer anastomosis is a relatively safe and effective surgical method.