摘要
目的 :探讨胃癌穿孔的临床特点 ,指导临床诊治和提高疗效。方法 :对本院 2 4例胃癌穿孔病人采用不同手术方式治疗。其中 8例行单纯修补术 ,2例在穿孔修补术后 3周早期施行二期根治性手术 ,3例行穿孔修补加胃空肠吻合术 ,7例行姑息性胃大部切除术 ,4例行胃癌根治术。结果 :本组死亡 4例 ,其余病例中位生存期分别为 7,13 .2 ,2 5 .1个月。结论 :采取积极的治疗措施 。
Objective:To investigate the clinical characteristics and give better guide to the diagnosis,therapy,and improvement of prognosis for the patients suffering from perforation of gastric cancer.Methods:We summarized 24 cases suffering from perforation of gastric cancer in our hospital from 1985 to 2002.8 cases were treated with repair of perforation,2 cases with radical gastrectomy for gastric cancer after repair of perforation about three weeks,3 with repair of perforation and gastrectomy at the same time,7 with partial gastrectomy,4 with radical gastrectomy for gastric cancer.Results:4 patients died during the perioperative period.The median survival time of patients treated with repair of perforation,partial gastrectomy and radical gastrectomy for gastric cancer was 7,13.2 and 25.1 months,respectively.Conclusion:Radical gastrectomy and positive treatment can prolong the survival time and improve the quality of the patient with perforation of gastric carcinoma.
出处
《右江医学》
2002年第6期469-470,共2页
Chinese Youjiang Medical Journal
