胃癌穿孔的外科治疗  

Surgical treatment for perforation of gastric carcinoma

作　　者：杨生虎 潘海斌[2] 黄华[2] 李劲[2] 

机构地区：[1]固原市原州区人民医院外科,宁夏固原756000 [2]深圳市东湖医院五区外科,广东深圳518020

出　　处：《现代医药卫生》2006年第7期958-959,共2页Journal of Modern Medicine & Health

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。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.

关 键 词：胃肿瘤 手术 胃癌穿孔 生存时间 生存质量 

分 类 号：R73[医药卫生—肿瘤]