摘要
目的探讨三种不同术式治疗胃癌急性穿孔的疗效。方法40例胃癌急性穿孔患者,根据接受的不同术式分为穿孔修补术组、姑息性切除术组和根治性切除术组,随访并观察术后并发症、手术死亡率以及生存期。结果本组病例并发症发生率为7.50%,手术死亡率为5.00%。穿孔修补术组生存期明显短于姑息性切除术组和根治性切除术组,两组分别比较差异具有统计学意义(P<0.05);姑息性切除术组生存期明显短于根治性切除术组,两者比较差异具有统计学意义(P<0.05)。结论姑息性切除术或根治性切除术可明显延长胃癌急性穿孔患者的生存期并改善预后。
Objective To study on effects of three different surgical methods in acute uleerations of gastric carcinoma. Methods According to being received three different surgical methods,40 patients with acute ulcerations of gastric carcinoma were divided into repair gastreetomy group, palliative resection group and radical excision group. Results The adverse effect rate was 7.50% and operative mortality was 5.00%. The duration of repair gastreetomy group was shorten than that of palliative resection group and radical excision group （ P 〈 0. 05 ）. And the duration of palliative resection group was shorten than that of radical excision group, and there were significant differences in two groups respectively （P 〈 0. 05 ）. Conclusion The surgical methods of palliative resection and radical excision can last the duration of patients with acute ulceration of gastric carcinomas and improve their prognosis.
出处
《中国实用医药》
2009年第2期30-31,共2页
China Practical Medicine
关键词
胃肿瘤
穿孔
外科手术
Stoinaeh neoplasms
Perforation
Surgery
