胃癌急性穿孔28例临床观察  

Clinical observation of 28 cases of gastric cancer with acute perforation

作　　者：于海强[1] 

机构地区：[1]延边大学附属医院,吉林延吉133000

出　　处：《中华肿瘤防治杂志》2015年第B22期166-167,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：目的分析胃癌急性穿孔患者的临床特征和治疗效果。方法抽选2011-01—2013一01延边大学附属医院收治的胃癌急性穿孔患者28例作为研究对象，根据实际病情采用不同手术方案，观察患者的治疗效果。结果患者穿孔部位均处于肿瘤病灶处，肿瘤直径平均（4．3土0．8）cm，穿孔大小0．5～3cm，腹腔渗液为200～2300mL。手术成功26例，治愈率为92．9％；死亡2例，死亡率为7．1％；切口感染、肺部感染、吻合口瘘和消化道出血等并发症共计发生率为17．9％，均对症处理后好转。随访结果显示，胃癌根治术患者术后生存时间最长，差异有统计学意义，P〈0．05。结论对于胃癌急性穿孔患者，尽早诊断并合理选用手术方案能够提高治愈率，延长生存时间，改善预后效果。OBJECTIVE To analyze the clinical features of patients with acute perforation of gastric carcinoma and therapeutic effect. METHODS Selected 28 cases of our hospital in patients with acute perforation of gastric carcinoma as the research object, according to actual condition with different surgery, the treatment effect were observed. RESULTS All patients with perforated parts in tumor lesions, tumor average （4.3--0. 8） cm in diameter, hole size is between 0.5 to 3 cm, abdominal cavity drainage for 200--2 300 mL. Successful operation of 26 cases, cure rate is 92.90/00 ; 2 cases died, mortality rate of 7.1%~ Incision infection, pulmonary infection in complications, anastomotic fistula, total incidence of gastrointestinal bleeding was 17.9~, the symptomatic improvement after treatment. Follow-up, according to the results of postoperative patients with gastric cancer radical longest survival time, the difference was statistically significant （P~ 0.05）. CONCLUSION For patients with acute perforation of gastric cancer, early diagnosis and reasonable choice opera- tion schemes can improve the cure rate and prolong the survival time and improve the prognosis.

关 键 词：胃肿瘤 急性穿孔 临床特征 治疗效果 

分 类 号：R735.2[医药卫生—肿瘤]