胃癌急性穿孔的外科治疗

Surgical treatment of acute perforation of gastric cancer

目的探讨胃癌急性穿孔的诊治方法。方法回顾性分析16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2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5.5、14.2、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 16 patients with acute perforating gastric cancer which were proved pathologically were analysed retrospectively. Results Two patients died during the perioperative period. The life expectancy of patients treated with repair of perforation, partial gastrectomy or radical gastrectomy for gastric cancer was 5.5,14.2 and 31 months respectively. Conclusion Early diagnosis and selecting correct surgical methods were the important factors to decrease the death rate and increase life quality.