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目的探讨胃底贲门癌急性穿孔的诊断和治疗方法。方法对本院1998年1月~2005年1月收治的15例胃底贲门癌急性穿孔病人的临床资料进行回顾性分析。结果行急诊剖腹探查的10例,术后出现肠梗阻1例、切口感染1例,死亡2例。行急诊腹腔镜探查的5例,术后发生切口感染者1例,死亡1例。结论腹腔镜技术在胃底贲门癌急性穿孔的诊治中具有很高的应用价值。选择合理的诊治手段可以延长病人生命、提高病人生存质量。
Objective To investigate the diagnosis and treatment of acute perforation of gastric cardia cancer. Methods A retrospective analysis was performed on the clinical data of 15 patients with acute perforation of gastric cardia carcinoma admitted from January 1998 to January 2005 in our hospital. Results The emergency laparotomy in 10 cases, postoperative intestinal obstruction in 1 case, incision infection in 1 case, 2 patients died. Five patients underwent emergency laparoscopy, and one patient had incision infection and one died. Conclusion Laparoscopy has a high value in the diagnosis and treatment of acute perforation of gastric cardia cancer. Choose a reasonable diagnosis and treatment can prolong the life of patients and improve patient quality of life.