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目的 探讨胃癌穿孔诊治方法。方法 回顾性对我院自 1990年以来收治的 12例胃癌穿孔病例的诊治资料进行分析。结果 单纯穿孔修补术 3例 ,姑息性胃大部切除术 6例 ,胃癌根治术 3例 ,3种术式术后生存周期分别为 3 5个月、11个月、2 0个月。结论 胃癌穿孔病例中年龄偏大 ,溃疡穿孔直径大 ,应积极手术治疗 ,胃癌根治术及姑息性胃大部切除术是治疗胃癌穿孔提高生存率的较好方法
Objective To investigate the diagnosis and treatment of gastric cancer perforation. Methods The clinical data of 12 cases of gastric cancer perforation admitted to our hospital since 1990 were retrospectively analyzed. Results There were 3 cases of simple perforation repair, 6 cases of palliative gastrectomy and 3 cases of radical gastrectomy. Survival cycle of 3 kinds of operation were 35 months, 11 months and 20 months respectively. Conclusion Gastric cancer perforation cases are older and have larger perforation diameter. Surgical treatment should be actively performed. Gastric cancer radical resection and palliative subtotal gastrectomy are better methods to improve the survival rate of gastric cancer perforation.