摘要
目的探讨胃癌急性穿孔的诊断和治疗。方法对27例胃癌急性穿孔患者的临床资料进行分析。结果穿孔修补术14例,其中穿孔修补加胃空肠吻合术6例,穿孔修补术后行二期根治手术2例;姑息性胃大部切除9例;胃癌根治术4例。三种术式的平均生存期为7.2个月,14个月和21个月。结论早期诊断及选择正确术式是降低病死率的重要因素,应尽可能行根治术或姑息性胃大部切除术。
Objective To investigate the management method for perforated gastric cancer. Methods 27 inpatients of perforated gastric cancer were analyzed retrospectively. Results 14 patients received simple repair, 9 conservation subtotal gastrectomy and 4 radical gastrectomy. The medial survival was 7.2, 14 and 21 months respectively. Conclusions Early diagnosis and suitable surgical method were the important factors to decrease the mortality rate and increase the life quality. Radical and pallistive gastrectomy is the first choice of surgical method.
出处
《海南医学》
CAS
2006年第5期20-21,共2页
Hainan Medical Journal
关键词
胃癌
穿孔
诊断
手术术式
Gastric cancer, perforation
Diagnosis
Sttrgical method
