中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
20期
58-59
,共2页
胃癌%胃穿孔%诊断治疗
胃癌%胃穿孔%診斷治療
위암%위천공%진단치료
Gastric cancer%Gastric perforation%Diagnosis and treatment
目的 探讨胃癌急性穿孔的临床特点及其诊治方法.方法 回顾性分析23例胃癌急性穿孔患者的临床资料.结果 单纯穿孔修补术6例,穿孔修补加胃空肠吻合术4例,穿孔修补术后行二期根治手术2例；姑息性胃癌切除术8例；一期胃癌根治术3例.三种术式的平均生存期分别为8.5个月,13.6个月和23个月.结论 早期诊断及选择正确术式是降低病死率的重要因素,应尽可能行根治术或姑息性胃大部切除术.
目的 探討胃癌急性穿孔的臨床特點及其診治方法.方法 迴顧性分析23例胃癌急性穿孔患者的臨床資料.結果 單純穿孔脩補術6例,穿孔脩補加胃空腸吻閤術4例,穿孔脩補術後行二期根治手術2例；姑息性胃癌切除術8例；一期胃癌根治術3例.三種術式的平均生存期分彆為8.5箇月,13.6箇月和23箇月.結論 早期診斷及選擇正確術式是降低病死率的重要因素,應儘可能行根治術或姑息性胃大部切除術.
목적 탐토위암급성천공적림상특점급기진치방법.방법 회고성분석23례위암급성천공환자적림상자료.결과 단순천공수보술6례,천공수보가위공장문합술4례,천공수보술후행이기근치수술2례；고식성위암절제술8례；일기위암근치술3례.삼충술식적평균생존기분별위8.5개월,13.6개월화23개월.결론 조기진단급선택정학술식시강저병사솔적중요인소,응진가능행근치술혹고식성위대부절제술.
Objective To investigate the clinical features,diagnosis and treatment of acute tumorous gastric perforation.Methods The clinical data of twenty-three patients suffered from acute tumorous gastric perforation were analyzed retrospectively.Results There were 6 cases treated with simple perforation repair,4 cases underwent perforation repair and gastrojejunostomy anastomosis,2 cases underwent radical gastrectomty after perforation repair,with 8.5 months of average survival time,8 cases underwent palliative subtotal gastrectomy with 13.6 months of average survival time,and 3 cases underwent radical gastrectomty with 23 months of average survival time.Conclusions Early diagnosis and suitable surgical method were the important factors to decrease the mortality incidence and increase the life quality.Radical and palliative gastrectomy is the first choice of surgical method.
