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目的探讨不同术式在胃癌穿孔患者中的治疗效果。方法选择我院2005年1月至2011年1月胃癌穿孔患者共34例,上述患者根据实施术式不同,分为根治性切除术组(10例)、穿孔修补术组(12例)和姑息性切除术组(12例)。本文三组患者分别实施根治性切除术、穿孔修补术和姑息性切除术。记录两组患者术后并发症情况,主要观察胃出血、术后腹腔脓肿、术后肺部感染等。记录两组手术死亡情况;对两组患者进行随访,记录两组患者生存时间。结果根治穿孔修补组、姑息性切除术组和根治性切除术组术后并发症发生率和死亡率比较,差异无统计学意义(P>0.05);三组平均生存时间比较,差异有统计学意义(P<0.05)。结论根治性切除术及姑息性切除术能够显著延长胃癌穿孔患者生存时间,疗效显著值得借鉴。
Objective To investigate the therapeutic effect of different surgical methods in patients with perforation of gastric cancer. Methods A total of 34 patients with perforation of gastric cancer from January 2005 to January 2011 were selected. The patients were divided into radical resection group (10 cases), perforation repair group (12 cases) and palliative Resection group (12 cases). Three groups of patients underwent radical resection, perforation and palliative resection. The postoperative complications of the two groups were recorded. The main findings were gastric bleeding, postoperative abdominal abscess, and postoperative pulmonary infection. The operative mortality was recorded in both groups; follow-up was performed on both groups and the survival time of the two groups was recorded. Results There was no significant difference in postoperative complications and mortality between the radical puncture repair group, palliative resection group and radical resection group (P>0.05). The mean survival time of the three groups was statistically different. Significance (P < 0.05). Conclusion Radical resection and palliative resection can significantly prolong the survival time of patients with perforation of gastric cancer. The curative effect is worthy of reference.