【摘要】 目的:探讨胃癌穿孔的外科治疗方法。方法:对1995年1月～2004年1月间74例胃癌穿孔的患者所实施的几种手术方式及其疗效进行回顾分析。结果:穿孔修补30例,姑息性切除24例,根治性切除20例。术后并发症发生率6.8%;手术死亡率1.4%。穿孔修补、姑息性切除、根治性切除术后1、3、5年生存率分别为3.3%、0、0;54.2%、25.0%、0;75.0%、55.0%、20.0%。结论:对于胃癌急性穿孔的病例,采取积极的治疗措施,可望延长患者的生存时间和提高患者的生存质量。更多还原

【Abstract】 Objective:To explore the surgical treatment for perforation of gastric carcinoma.Methods:The clinical data in 74 patients with perforation of gastric carcinoma from January 1995 to January 2004 treated by different surgical procedures in our department were analysed retrospectively.Results:Thirty cases underwent the repair of perforation,24 received the palliative gastrectomy and 20 radical gastrectomy.The incidence of postoperative complication was 6.8% and the death rate 1.4%.The survival rates of 1-,3-and 5- year in repair operation,palliative gastrectomy and radical gastrectomy were 3.3%,0,0;54.2%,25.0%,0;75.0%,55.0%,20.0% respectively.Conclusion:Positive treatment can prolong the survival time and improve the guality of life for the patients with perforation of gastric carcinoma.更多还原