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为了探讨胃癌穿孔的临床特点、误诊因素及治疗方法，采用了回顾性分析的方法，研究了经手术和病理确诊胃癌穿孔34例的临床特点、手术方式和随诊情况，结果表明：术前误诊50％，术中误诊41．1％，随访行胃癌根治术者平均生存29个月，胃大部切除术21个月，未行胃癌切除术者10个月。结论：胃癌穿孔误诊率高，行胃癌根治术与胃大部切除术生存率有一定差异，所以对胃癌穿孔的明确诊断对其治疗及预后都有一定意义。
In order to investigate the clinical features, misdiagnosis factors and treatment methods of gastric cancer perforation, a retrospective analysis method was used to study the clinical features, surgical methods and follow-up of 34 cases of gastric cancer perforation confirmed by surgery and pathology. The results showed that: misdiagnosis before surgery. 50% of the patients misdiagnosed 41.1% during the operation. Follow-up patients who underwent radical gastrectomy survived for an average of 29 months. Subtotal gastrectomy was performed for 21 months. No gastrectomy was performed for 10 months. Conclusion: The misdiagnosis rate of gastric cancer perforation is high, and there is a certain difference between the survival rate of gastric cancer radical surgery and gastrectomy. Therefore, the definite diagnosis of gastric cancer perforation has certain significance for its treatment and prognosis.