【摘要】 目的　探讨胃癌穿孔的诊断与治疗。方法　对本院 2 8例胃癌穿孔患者的临床资料进行分析。结果　单纯穿孔修补术 (或加胃空肠吻合术 ) 9例 ,姑息性胃大部切除术 11例 ,胃癌根治术(一、二期 ) 8例。3种术式的中位生存期分别为 5 .5个月、15个月、2 2个月。大体类型多为溃疡型(2 3/2 8例 ,81.2 % ) ,病理多为低分化或未分化癌 (2 5 /2 8例 ,89.2 % )。结论　胃癌穿孔病例常表现为年龄偏大、溃疡及穿孔直径大等 ,应积极手术治疗 ,尽可能行根治术或姑息性胃大部切除术。更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of perforating gastric cancer.Methods The clinical data of 28 patients with perforating gastric cancer were retrospectively analyzed.Results Nine patients received simple repair, 11 partial gastrectomy and 8 radical gastrectomy. The median survival time of the patients treated with simple repair, partial gastrectomy or radical gastrectomy for gastric cancer was 5.5, 15 and 22 months, respectively. Pathologically, 23/28 cases ( 81.2% ) were of ulcerative cancer and 25/28 ( 89.2% ) poorly differentiated.Conclusion Old age, poor general conditions, larger ulcer and perforation size and metastases are perdicharacteristics of perforating gastric cancer. Surgical intervention should be performed as soon as possible and emergency gastrectomy is the first choice of operation.更多还原