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目的探讨胃癌穿孔的临床特点,指导临床诊治和提高疗效。方法回顾性分析凤城市中心医院2000至2008年24例胃癌急性穿孔手术治疗的临床和病理资料。结果5例行单纯穿孔修补术,2例在穿孔修补术后3周早期施行Ⅱ期根治性手术,3例行穿孔修补术和胃空肠吻合术,9例行姑息性胃大部切除术,4例行胃癌根治术,1例行胃造口术。死亡5例,病死率20.8%。结论早期诊断,采取适当的术式,综合治疗能有效提高生存率。
Objective To investigate the clinical features of gastric cancer perforation to guide clinical diagnosis and treatment and improve the curative effect. Methods The clinical and pathological data of 24 cases of acute gastric cancer perforation surgery from 2000 to 2008 in Fengcheng Central Hospital were retrospectively analyzed. Results Five patients underwent simple perforation repair. Two patients underwent radical operation at the third week after perforation repair. Three patients underwent perforation repair and gastrojejunostomy. Nine patients underwent palliative gastrectomy, Routine radical gastrectomy, 1 case of gastrostomy. 5 died, the case fatality rate was 20.8%. Conclusion Early diagnosis, take appropriate surgical procedures, comprehensive treatment can effectively improve the survival rate.