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目的探讨胃癌穿孔的诊断与治疗方法。方法对 34例胃癌穿孔病例的临床资料进行回顾分析。结果单纯穿孔修补术 (或加胃空肠吻合术 ) 9例 ,平均生存时间 5个月 ;姑息性胃大部切除术 17例 ,平均生存时间 14个月 ;根治性胃大部和全胃切除术 8例 ,平均生存时间 2 5个月。结论对胃癌穿孔应积极治疗 ,根治性切除可明显提高生存率。
Objective To investigate the diagnosis and treatment of gastric cancer perforation. Methods The clinical data of 34 cases of gastric cancer perforation were retrospectively analyzed. Results There were 9 cases of simple perforation repair (or gastrojejunostomy) with an average survival time of 5 months; 17 cases of palliative gastrectomy with an average survival time of 14 months; radical gastrectomy and total gastrectomy 8 cases, the average survival time of 25 months. Conclusion Perforation of gastric cancer should be actively treated, radical resection can significantly improve the survival rate.