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目的分析胃癌急性穿孔手术治疗临床疗效。方法随机抽取我院在2011-2012年期间收治的54例胃癌急性穿孔患者的临床资料进行回顾性分析，将患者随机分为对照组、试验组两组，每组27例，对照组采用普通的胃穿孔手术修补，观察组采用穿孔修补治疗和腹腔引流治疗，对两组患者的临床治疗结果进行评价对比，两组患者在性别、年龄等方面的差异，P＞0.05，无统计学意义。结果54例患者均为处于胃癌进展期，均例行胃切除术，对照组总有效率为74.07%，治疗组总有效率为96.29%，经过治疗对比观察，治疗组临床治疗效果明显优化对照组。结论胃癌急性穿孔存活期的关键在于早期诊断、及时手术和手术方式，同时，腹腔镜下治疗胃穿孔，疗效确切，效果明显，值得临床应用与推广。“,” objective to analyze the clinical curative effect of surgical treatment of acute perforation of gastric cancer. Method: random extraction I homes in 2011-2012 during admitted of 54 cases gastric cancer acute perforation patients of clinical information for recal ed sexual analysis, wil patients random is divided into against group, and ramped two group, each group 27 cases, against group used General of stomach perforation surgery patch, observation group used perforation patch treatment and abdominal drainage treatment, on two group patients of clinical treatment results for evaluation contrast, two group patients in gender, and age, aspects of differences, P>0.05, no statistics meaning. Results: 54 patients are in the progressive stage of gastric cancer are routinely gastrectomy, total effective rate for the control group 74.07%, group total effective rate of 96.29%, after a comparative study of the treatment, treatment optimization of clinical treatment effect in the control group. Conclusion: acute perforation of gastric cancer survival is the key to early diagnosis, timely surgery and surgery, and Laparoscopic gastric perforation, good efficacy, effect is clear, and worthy of clinical application and promotion.