CAJ | 학술논문

目的：探讨分析胃癌穿孔的临床病理分期特点和手术方式的关系。方法对该院收治的50例胃癌穿孔患者的临床病理分期资料进行回顾性分析，并探讨不同的临床病理分期和手术方式的相关性关系。结果50例胃癌穿孔患者临床病理分期主要有Ⅱ～Ⅳ期，其中Ⅱ期2例、Ⅲ期19例、Ⅳ期29例。手术方式为单纯穿孔修补术、姑息性手术、一期根治性切除术以及二期根治性切除术的例数分别为16例（其中Ⅲ期6例，Ⅳ期10例）、19例（其中Ⅲ期6例，Ⅳ期13例）、4例（其中Ⅱ期1例，Ⅲ期3例）以及11例（其中Ⅱ期4例，Ⅲ期7例）。结论根据胃癌穿孔临床病理分期合理选择的手术方式具有提高患者治疗效果。
목적：탐토분석위암천공적림상병리분기특점화수술방식적관계。방법대해원수치적50례위암천공환자적림상병리분기자료진행회고성분석，병탐토불동적림상병리분기화수술방식적상관성관계。결과50례위암천공환자림상병리분기주요유Ⅱ～Ⅳ기，기중Ⅱ기2례、Ⅲ기19례、Ⅳ기29례。수술방식위단순천공수보술、고식성수술、일기근치성절제술이급이기근치성절제술적례수분별위16례（기중Ⅲ기6례，Ⅳ기10례）、19례（기중Ⅲ기6례，Ⅳ기13례）、4례（기중Ⅱ기1례，Ⅲ기3례）이급11례（기중Ⅱ기4례，Ⅲ기7례）。결론근거위암천공림상병리분기합리선택적수술방식구유제고환자치료효과。
Objective To investigate and analyze the relationship of clinicopathological stages characteristics and surgical proce-dures of perforation of gastric cancer .Methods Data of clinicopathological stages characteristics of 50 patients with perforation of gastric cancer in this hospital were retrospectively analyzed ,and the correlation between of the different clinicopathological stages and surgical procedures was analyzed .Results Fifty patients were with clinical stage Ⅱ - Ⅳ ,there were 2 cases of stage Ⅱ ,19 ca-ses of stage Ⅲ ,29 cases of stage Ⅳ .Surgical approach were simple perforation repair ,palliative surgery ,first radical resection and second radical resection ,and the number of cases were 16 cases(6 cases of stage Ⅲ ,10 cases of stage Ⅳ) ,19 cases(6 cases of stageⅢ ,13 cases of stage Ⅳ) ,4 cases(one case of stage Ⅱ ,3 cases of stage Ⅲ) and 11 cases(4 cases of stage Ⅱ ,7 cases of stage Ⅲ) . Conclusion It indicated that making reasonable choice of surgical approach according to the clinical staging can improve patients′outcomes .