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目的:探讨胃癌急性穿孔患者的病理分期特点和手术治疗方式的关系。方法:对我院胃癌急性期穿孔患者60例的临床资料进行分析,比较不同病理分期与手术方式的关联性,以及对预后的影响。结果:胃癌穿孔常发生于胃癌患者Ⅲ期和Ⅳ期,10.0%行根治术、2例Ⅱ期、4例Ⅲ期,31.7%行修补术、6例Ⅲ期、13例Ⅳ期,43.3%行姑息术,8例Ⅲ期、18例Ⅳ期,15.0%行Ⅱ期根治术、1例Ⅱ期、9例Ⅲ期,修补术患者死亡率较高。结论:胃癌穿孔高发于进展期,手术方式与病理分期、年龄等相关,影响预后,因此根据患者特点,选择合理的手术方式至关重要。
Objective: To investigate the relationship between pathological staging and surgical treatment of patients with acute gastric cancer perforation. Methods: The clinical data of 60 patients with acute gastric cancer perforation in our hospital were analyzed. The correlation between different pathological stages and surgical modality and the prognosis were compared. Results: Gastric cancer perforation often occurred in patients with stage Ⅲ and Ⅳ gastric cancer, with 10.0% underwent radical surgery, 2 cases with stage Ⅱ, 4 cases with stage Ⅲ, 31.7% with repair, 6 cases with stage Ⅲ, 13 cases with stage Ⅳ and 43.3% Palliative surgery, 8 cases of stage Ⅲ, 18 cases of stage Ⅳ, 15.0% of stage Ⅱ radical surgery, 1 case of stage Ⅱ, 9 cases of stage Ⅲ, repair of patients with higher mortality. Conclusion: The high risk of perforation in gastric cancer progresses. The surgical method is related to the pathological stage, age and so on, which affects the prognosis. Therefore, it is very important to select a reasonable surgical method according to the characteristics of the patient.