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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:对本院30例胃癌穿孔病人采用不同手术方式治疗。其中8例行单纯穿孔修补术,2例在穿孔修补术后4周施行二期根治手术,3例行穿孔修补和胃空肠吻合术,12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。结果:本组死亡5例。经手术者平均生存期分别为8个月、13个月和38个月。结论:早期诊断,综合治疗,是降低病死率提高生存质量的重要因素。
Objective: To investigate the clinical features of gastric cancer perforation, to guide clinical diagnosis and treatment and to improve the curative effect. Methods: 30 cases of gastric cancer perforation patients with different surgical treatment. Among them, 8 cases underwent simple perforation repair, 2 cases underwent second-stage radical operation at 4 weeks after perforation repair, 3 cases underwent perforation repair and gastrojejunostomy, 12 underwent palliative gastrectomy and 4 underwent gastric cancer Radical surgery, 1 case of gastrostomy. Results: Five patients died in this group. The average survival time of the surgeons was 8 months, 13 months and 38 months respectively. Conclusion: Early diagnosis and comprehensive treatment are important factors in reducing mortality and improving quality of life.