老年胃癌穿孔的诊断及术式选择（附21例报告）

Diagnosis and choice of operational pattern on perforation of gastric cancer in aged patients（a report of 21 cases）

目的探讨老年胃癌穿孔的诊断和手术方式的选择。方法回顾性分析21例老年胃癌穿孔患者的临床资料。结果21例中行胃癌根治术（D2）5例，姑息性胃部分切除8例，穿孔单纯修补8例，平均生存期分别为26月、17月、6．5月，其中2例死于感染性休克及多器官功能衰竭。结论早期诊断、个体化手术方案的选择是治疗老年胃癌穿孔的关键，可提高治疗效果，改善患者生存质量。

Objective To search the diagnosis and choice of operational pattern on perforaion of gastric cancer in aged patients. Methods The clinical data of 21 patients with perforation of gastric acncer were retrospectively analyzed. Results Five patients were underwent radical gastrectomy, 8 patients were underwent subtotal gastrectomy, and 8 patients were received simple perforation repair of the 21 patients. The mean survival time were 26 nonth, 17 month and 6. 5 month respectively. The death of 2 patients were succumbed to septic shock and multiple organ failure separately. Conclusion Early diagnosis and choice of operational pattern are key points on treatment of perforation of gastric cancer in old patients. Surgical intervention should be conducted as soon as possible to improve the effect of treatment and survival quality of patients.