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目的探讨胃癌穿孔的外科治疗方法。方法对１９８８年１月至１９９８年１月间７４例胃痛穿孔的患者所实施的几种手术方式及其疗效进行回顾分析。结果穿孔修补３０例，姑息性切除２４例，根治性切除２０例。术后并发症发生率６．８％；手术死亡率１．４％。穿孔修补、姑息性切除、根治性切除术后１、３、５年生存率分别为３．３％、０、０；５４．２％、２５．０％、０；７５．０％、５５．０％、２０．０％。结论对于胃癌急性穿孔的病例，采取积极的治疗措施，可望延长患者的生存时间和提高患者的生存质量。
Objective To investigate the surgical treatment of perforation of gastric cancer. Methods Seventy-four cases of gastric perforation in patients who had stomach perforation between January 1988 and January 1998 were retrospectively analyzed. Results There were 30 cases of perforation repair, 24 cases of palliative resection, and 20 cases of radical resection. The incidence of postoperative complications was 6.8%; the operative mortality was 1.4%. The 1-, 3-, and 5-year survival rates after perforation, palliative resection, and radical resection were 3.3%, 0, 0, 54.2%, 25.0%, 0; 75.0%, and 55. 0%, 20.0%. Conclusion For patients with acute perforation of gastric cancer, adopting active treatment measures is expected to prolong the patient’s survival time and improve the patient’s quality of life.