胃癌急性穿孔的外科治疗

Surgical Treatment for Acute Perforation of Gastric Cancer

目的 探讨胃癌穿孔的临床特点及外科治疗方法。方法 对 2 2例胃癌穿孔病人实施不同手术方式治疗。其中行穿孔修补加胃肠吻合术 6例 ,姑息性胃癌切除术 8例 ,胃癌根治术 (D2 ,D3 ) 8例 ,后两者术后均行腹腔化疗等综合治疗。结果 穿孔修补加胃肠吻合术、姑息性胃癌切除术、胃癌根治术术后平均生存期分别为 6个月、2 9.2个月、37.3个月。结论 合理选择术式 ,综合治疗 。

Objective To investigate the clinical characteristics and the surgical treatment for perforation of gastric cancer.Methods we summarized 22 cases Suffering from perforation of gastric cancer in our hospital,6 were treated with repair of perforatlon and gastrojejunostomy at the same time,8 with partial gastrectomy,8 wth radical gastrectomy for gastric cancer(D 2,D 3),and positive treatment such.as intraperitoneal chemothrapy to the patients above.Results The life expectancy of patients treated with repair of perforation,partial gastrectomy or radical gastrectomy for gastric cancer was 6,29.2 and 37.3months.Conclusion Reasonably select surgery methoty and positive treatment are keys to prolong the survival time.