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目的探讨胃癌穿孔患者外科手术治疗的效果。方法回顾性分析37例胃癌穿孔行外科治疗患者的临床资料。姑息性胃大部切除术24例,胃癌根治术8例,穿孔修补术4例,未手术1例。结果术前诊断率24.3%,误诊率75.7%。围手术期病死率为5.4%,其中穿孔修补死亡1例。行姑息性胃大部切除术,胃癌根治术,穿孔修补术者并发症发生率分别为41.7%,25.0%,75.0%;术后平均生存期分别为25,29,3,0个月;姑息性胃大部切除和胃癌根治术的疗效明显优于穿孔修补术和未手术。结论对于胃癌穿孔的患者,全身状况许可者,可行一期胃癌根治切除或姑息性胃大部切除手术。
Objective To investigate the surgical treatment of gastric cancer perforation patients. Methods The clinical data of 37 patients with gastric cancer perforation were retrospectively analyzed. 24 cases of palliative gastrectomy, 8 cases of radical gastrectomy, 4 cases of perforation repair, 1 case without surgery. Results The preoperative diagnosis rate was 24.3% and the misdiagnosis rate was 75.7%. Perioperative mortality was 5.4%, of which 1 died of perforation repair. The incidence rates of palliative gastrectomy, radical gastrectomy and perforation repair were 41.7%, 25.0% and 75.0% respectively. The average postoperative survival rates were 25, 29, 3 and 0 months respectively. Palliative Gastrectomy and radical gastrectomy curative effect was significantly better than perforation repair and no surgery. Conclusion For patients with gastric cancer perforation, the general condition permits, feasible one-stage radical gastrectomy or palliative gastrectomy.