胃癌急性穿孔168例诊断及治疗临床分析

目的:探讨胃癌急性穿孔的诊断方法及治疗措施和效果。方法:收治胃癌急性穿孔患者168例,根据患者手术方式分为A、B、C三组,其中A组58例,治疗方法单纯胃癌穿孔修补术;B组62例采取胃癌姑息性切除术治疗,术中主要采取胃大部切除术及毕-2式吻合术;C组48例,采取胃癌根治性切除术进行治疗。结果:A组术后并发症4例,并发症发生率6.9%,生存时间248.34±26.11天,死亡4例,B组术后并发症4例,并发症发生率6.5%,生存时间664.64±44.32天,死亡4例,C组术后并发症3例,并发症发生率6.3%,生存时间938.61±95.23天。结论:胃癌根治性切除术治疗胃癌穿孔疗效显著,患者生存时间长。

Objective：To investigate the expression of acute perforation of diagnostic methods and treatment measures and effects.Methods：our hospital from February 2010 to May 2012,the treatment of 168 cases of gastric cancer acute perforation patients,according to the surgical approach in patients divided into three groups A,B,C,A group of 58 patients,treatment simply gastric perforation repair;B group of 62 patients to take the treatment of gastric palliative resection surgery take gastrectomy and Bi-2 anastomosis;C group of 48 patients,take gastric cancer after radical resection for treatment.Result：A group of post-operative complications,complication rate was 6.9%,the survival time 248.34±26.11 d,4 patients died,4 cases of group B post-operative complications,the complication rate was 6.5%,The survival time was 664.64±44.32 d,4 patients died,three cases of the C group postoperative complications,complication rate was 6.3%,the survival time 938.61±95.23 d.Conclusion：radical gastric resection is the treatment of gastric perforation efficacy significantly long survival time,worthy of promotion.