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目的探讨胃癌穿孔的临床诊断和外科治疗的效果。方法回顾性分析外科治疗胃癌穿孔30例患者的临床资料。结果 30例中单纯穿孔修补术15例,姑息性切除术10例,根治性切除术5例,术后并发症发生率为13.3%,围术期病死率为10%。结论胃癌穿孔患者应积极行手术治疗,早期诊断及合理的手术方式是降低并发症发生率、病死率及提高生存质量的重要因素。
Objective To investigate the clinical diagnosis and surgical treatment of gastric cancer perforation. Methods The clinical data of 30 patients with gastric cancer perforation were retrospectively analyzed. Results In the 30 cases, 15 cases were treated by simple perforation, 10 cases were treated by palliative resection and 5 cases by radical resection. The incidence of postoperative complications was 13.3% and perioperative mortality was 10%. Conclusions Surgical treatment of gastric cancer perforation should be actively performed. Early diagnosis and rational operation are important factors to reduce the incidence of complication, mortality and quality of life.