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目的探讨胃癌穿孔的临床特点及治疗结果,结合文献探讨最佳治疗方案。方法自1997年1月～2006年10月,我院共收治胃癌穿孔病人20例,对其发病特点及治疗结果进行分析。结果6例仅行穿孔修补,其中1例化疗后再姑息性手术。9例行姑息性胃大部切除,5例行根治性胃手术。围手术期死亡率为0.胃肠吻合漏为0,胃穿孔修补,姑息性胃部切除及根治性胃切除手术后平均生存5.5个月、15个月、37个月。结论胃癌穿孔发生率相对增加,急腹症手术时应提高警惕;病人多有进展期胃癌的全身症状及特点,诊断常在术中做出;积极采取手术可提高生存期。
Objective To investigate the clinical features and treatment outcome of gastric cancer perforation and to explore the best treatment plan based on the literature. Methods From January 1997 to October 2006, 20 cases of gastric cancer perforation patients were treated in our hospital, and their incidence characteristics and treatment results were analyzed. Results 6 cases were only perforation repair, 1 case of chemotherapy and then palliative surgery. 9 cases of palliative gastrectomy, 5 cases of radical gastrectomy. Perioperative mortality was 0. Gastrointestinal anastomotic leakage was 0, gastric perforation repair, palliative resection of the stomach and radical gastrectomy survived an average of 5.5 months, 15 months and 37 months. Conclusions The incidence of gastric cancer perforation is relatively increased. Acute abdomen surgery should be vigilant. Patients with advanced gastric cancer have more systemic symptoms and features. Diagnosis is often done intraoperatively. Surgery can improve survival time.