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目的探讨胃癌急性穿孔的临床特点及手术方式。方法回顾性分析58例胃癌急性穿孔患者的临床资料。结果其中18例行单纯穿孔修补术、22例行姑息性胃大部切除术、18例行胃癌根治术。单纯穿孔修补者术:生存时间2.5~11个月,平均生存时间4.8个月;姑息性胃大部切除:生存时间5.5~25个月,平均生存时间16.1个月;根治性胃癌切除:生存时间6~82个月,平均生存时间35.5个月。结论胃癌穿孔早期的明确诊断、合理的手术方式及综合治疗措施可以有效提高生存期、降低病死率,行根治性切除术效果优于姑息性切除术及单纯穿孔修补术。
Objective To investigate the clinical features and surgical methods of acute gastric cancer perforation. Methods The clinical data of 58 patients with acute perforation of gastric cancer were retrospectively analyzed. Results of 18 cases of simple perforation repair, 22 cases of palliative gastrectomy, 18 cases of radical gastrectomy. Simple perforation repair surgery: survival time of 2.5 to 11 months, the average survival time of 4.8 months; palliative gastrectomy: survival time of 5.5 to 25 months, the average survival time of 16.1 months; radical resection of gastric cancer: survival time 6 to 82 months, the average survival time of 35.5 months. Conclusion The early diagnosis of gastric cancer perforation, reasonable surgical methods and comprehensive treatment measures can effectively improve the survival and reduce mortality, radical resection is better than palliative resection and simple perforation repair.