胃癌急性穿孔21例

21 Cases of Acute Perforation in Gastric Cancer Patients

目的:探讨胃癌急性穿孔的诊治方法。方法:回顾性分析21例经病理证实的胃癌急性穿孔患者的临床资料。结果:本组死亡4例。穿孔修补术、胃大部切除术、胃癌根治术平均生存期分别为7个月、15个月、31个月。结论:早期诊断及选择正确术式是降低病死率、提高生存质量的重要因素。

Objective To study the diagnosis and treatment of acute perforating gastric cancer. Methods The clinical data of 21 patients with acute perforating gastric cancer proved pathologically were analysed retrospectively. Results Four patients died during the perioperative period. The life expectancy of patients treated with repair of perforation, partial gastrectomy orradi calgastrectomy for gastric cancer was 7,15 and 31 months respectively. Conclusion Early diagnosis and selecting exactly surgical methods were the important factors to decrease the death rate and increase life quality.