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目的探讨不同胃癌急性穿孔术式的手术疗效。方法36例胃癌穿孔患者根据术式分为穿孔修补术组、姑息性切除术组和根治性切除术组,对比其手术疗效。结果穿孔修补术组生存期明显短于姑息性切除术组和根治性切除术组(均P<0.05);姑息性切除术组生存期明显短于根治性切除术组(P<0.05)。结论姑息性切除术或根治性切除术可明显延长胃癌急性穿孔患者的生存期并提高患者的生存质量。
Objective To investigate the surgical effects of different kinds of acute gastric cancer perforation. Methods Thirty-six patients with gastric cancer perforation were divided into perforation repair group, palliative resection group and radical resection group according to the surgical procedure, and the curative effect was compared. Results The survival time of perforation repair group was significantly shorter than that of palliative resection group and radical resection group (all P <0.05). The survival time of patency resection group was significantly shorter than that of radical resection group (P <0.05). Conclusion Palliative resection or radical resection can significantly prolong the survival of patients with acute perforation of gastric cancer and improve the quality of life of patients.