摘要
目的探讨胃癌急性穿孔的诊断和外科治疗。方法抽取1998-2008年本院治疗的胃癌急性穿孔患者50例,均为手术治疗患者,其中穿孔修补患者20例;姑息性胃癌切除患者15例,其中胃部分切除患者3例,胃大部切除患者8例,全胃切除患者4例;根治性胃癌切除患者15例,其中远半胃癌根治12例,近半胃癌根治1例,根治性全胃切除2例。结果3种手术方式的并发症发生率依次为40%、20%、6.67%,术后平均生存时间分别为5.3个月、14个月、33个月。结论胃癌急性穿孔行根治性切除术效果优于姑息性切除术,姑息性切除术效果优于穿孔修补术。
Objective To discuss the diagnosis and surgical treatment of the acute perforation of gastric carcinoma. Methods 50 cases of acute perforation of gastric carcinoma with surgical treatment were chosen in our hospital during 1998 -2008. Including 20 cases of perforated patch; 15 cases of palliative resection of gastric cancer, 3 eases of partial resection of stomach, 8 cases of subtotal gastrectomy, 4 cases of total gastrectomy; 15 cases of radical resection of gastric carcinoma, including 12 cases of faremi gastric carcinoma, nearly 1 cases of near-semi gastric carcinoma, 2 cases of radical total gastrectomy. Results As a result, complications incidences of three surgical methods were 40%, 20%, 6. 67%, average survival time after operation was 5.3 months, 14 months, 33 months. Conclusion The radical resection is better than the palliative resection in the treatment of acute perforation of gastric carcinoma. The palliative resection is superior to the effect of perforation patch.
出处
《中国现代药物应用》
2009年第8期29-30,共2页
Chinese Journal of Modern Drug Application
关键词
胃癌急性穿孔
诊断
外科治疗
Acute perforation of gastric carcinoma
Diagnosis
Surgical treatment
