[摘要] 目的 探讨食管-胃壁内吻合术贲门功能重建对预防反流性食管炎的作用。方法 对48例施行胸腔食管-胃壁内吻合术患者的临床资料进行分析研究。结果 显示手术组患者有症状的2例；钡餐未发现明显反流；胃镜检查7例有黏膜轻度改变；测压与正常对照组差异无显著性。结论 食管-胃壁内吻合术能够部分达到贲门功能重建的作用，可较好预防反流性食管炎的发生。

    [关键词] 吻合术；反流性食管炎

    Improvement reconstructing cardial function in esophagogastric anastomosis

    LI Shao-min,ZHOU Bin,ZHANG Wei,et al.Department of Cardiothoracic Surgery,the 2nd Affiliated Hospital,Medical College of Xi’an Jiaotong University，Xi’an 710004,China

    [Abstract] Objective To explore the effect of esophagogastric intramural anastomosis on reconstructing cardial function and preventing reflux esophagitis.Methods The clinical data of 48 cases who were performed esophagogastric intramural anastomosis in thoracic cavity were analyzed and studied.Results The results show 2 cases presenting symptoms;no evident barium reflux during the barium meal;7 cases of mild mucous membrane changes in gastroscope examine.The measure of quiescence pressure and rang was no obvious difference between surgical group and normal group.Conclusion Esophagogastric intramural anastomosis can partly reconstruct the cardial function and prevent reflux esophagitis effectively. ......