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目的分析急性穿孔胃癌患者手术治疗的方法及效果。方法对1998年～2011年间我院收治的118例急性穿孔胃癌患者的手术方式及其疗效进行回顾性分析。其中,单纯穿孔修补术47例;姑息性胃切除术39例;根治性胃切除术32例。结果手术并发症患者11例,发生率9.3%,死亡8例,死亡率7.4%。术后随访104例,穿孔修补术患者术后1、3、5年生存率分别为26.8%、0%、0%;姑息性胃切除术l、3、5年生存率分别为60.0%、37.1%、5.7%;根治性胃切除术1、3、5年生存率分别为100%、78.6%、21.4%。结论选择积极、合理的治疗方法,可以延长患者的生存时间及提高生存质量。
Objective To analyze the surgical treatment of patients with acute puncture gastric cancer and its effect. Methods A retrospective analysis was performed on the surgical methods and curative effects of 118 patients with acute puncture gastric cancer who were admitted to our hospital from 1998 to 2011. Among them, 47 cases were treated by simple perforation repair, 39 cases by palliative gastrectomy and 32 cases by radical gastrectomy. Results 11 cases of surgical complications, the incidence of 9.3%, 8 died, the mortality rate of 7.4%. The postoperative follow-up was performed in 104 cases. The 1, 3, 5-year survival rates after perforation repair were 26.8%, 0% and 0% respectively. The 1-, 3- and 5-year survival rates of palliative gastrectomy were 60.0% and 37.1 %, 5.7%. The 1, 3, 5 year survival rates of radical gastrectomy were 100%, 78.6% and 21.4% respectively. Conclusion The choice of positive and reasonable treatment can prolong the survival time and improve the quality of life.