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目的:探讨胃癌急性穿孔的临床特点和外科治疗方式。方法:回顾性统计分析我院收治的150例胃癌急性穿孔的诊断,手术方式与生存期的相关性。本组50例行单纯穿孔修补术,50例行姑息性胃大部切除术,50例行胃癌根治术。结果:单纯穿孔修补者术,生存时间为2.8~10个月,平均5.3个月;姑息性胃大部加大网膜切除:生存时间为5.9~24个月,平均15.2个月;根治性胃癌切除:生存时间为10~57个月,平均31.8个月。结论:胃癌穿孔应积极急诊手术治疗,早期诊断和合理的手术方式、综合治疗是降低病死率,提高生存期的重要因素,癌急性穿孔行根治性切除术效果优于姑息性切除术,姑息性切除术效果优于穿孔修补术。
Objective: To investigate the clinical features and surgical treatment of acute gastric cancer perforation. Methods: A retrospective statistical analysis of our hospital admitted 150 cases of acute gastric perforation of the diagnosis, surgical methods and survival of the correlation. The group of 50 cases of simple perforation repair, 50 cases of palliative gastrectomy, 50 cases of radical gastrectomy. Results: The simple perforation repair surgery, the survival time was 2.8 to 10 months, an average of 5.3 months; palliative gastrectomy plus omentum: the survival time was 5.9 to 24 months, an average of 15.2 months; radical gastric cancer Excision: survival time of 10 to 57 months, an average of 31.8 months. Conclusion: The treatment of perforation of gastric cancer should be active in emergency surgery, early diagnosis and reasonable operation. Comprehensive treatment is an important factor in reducing mortality and improving survival. The radical resection of cancer with perforation is superior to palliative resection and palliative Resection is better than perforation repair.