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胃底贲门癌急性穿孔的诊治体会

Diagnosis and treatment of acute perforation of carcinoma of gastric cardia and fundus gastricus
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摘要 目的 探讨胃底贲门癌急性穿孔的诊断和治疗方法。方法 对本院1998年1月~2005年1月收治的15例胃底贲门癌急性穿孔病人的临床资料进行回顾性分析。结果 行急诊剖腹探查的10例,术后出现肠梗阻1例、切口感染1例,死亡2例。行急诊腹腔镜探查的5例,术后发生切口感染者1例,死亡1例。结论 腹腔镜技术在胃底贲门癌急性穿孔的诊治中具有很高的应用价值。选择合理的诊治手段可以延长病人生命、提高病人生存质量。 Objective To study the diagnosis and treatment of acute perforation of carcinoma of gastric cardia and fundus gastricus. Methods The clinical data of 15 cases of acute perforation of carcinorna of gastric cardia and fundus gastricus from Jan. 1998 to Jan. 2005 were reviewed retrospectively. Results of 10 patients subject to emergency laparotomy, there was one case of intestinal obstruction and one case of incisional infection, and 2 patients died. In 5 patients receiving laparoscopic exploration, postoperative incisonal infection occurred in one case and there was one death. Concluslon Laparoscopic technique could effectively diagnose and treat acute perforation of carcinoma of gastric cardia and fundus gastricus.
出处 《腹部外科》 2006年第2期102-103,共2页 Journal of Abdominal Surgery
关键词 胃肿瘤 腹腔镜检查 诊断 外科手术 Stomach neoplasms Laparoscope Diagnosis Surgical procedures,operative
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