摘要
目的探讨原发性胆囊癌的诊断、TNM分期、外科治疗以及预后。方法对86例病理证实的原发性胆囊癌患者的临床资料进行回顾性分析。结果术前诊断率为71%;组织学类型以腺癌最常见(88.3%);TNMⅠ,Ⅱ期患者分别占12%和14%,Ⅲ～Ⅳ期占74%;根治性切除率为36%;早期诊断和根治性手术可能使患者获长期生存。结论根治性切除是治愈胆囊癌惟一的有效手段,必要的影像学联合检查可提高诊断的准确率,对临床分期有重要帮助。根据TNM分期实施积极的根治性手术可改善预后,提高患者的生活质量。
Objecive To summarize the experience of diagnosis, TNM staging, surgical treatment and prog-nosis of primary gallbladder carcinoma. Methods The clinical data of 86 patients with primary gallbladder carcinoma were analyzed retrospectively. All patients were confirmed by pathological examination. Results The accuracy of preoperative diagnosis was 71%. Adenocarcinoma was the most common pathological type and accounted for 88.3% of all cases. The percentages of TNM Ⅰ , Ⅱ and Ⅲ-Ⅳ were 12%, 14% and 74%, respectively. Radical surgical resection rate was 36%. Early diagnosis and radical resection were the key factors for long surviving. Conclusion Radical surgical resection is the only curative way for gallbladder car- cinoma. Combined imaging examinations are necessary for improvement of diagnostic accuracy, as well as helpful for TNM staging. Aggressive radical resection based on TNM staging can improve the prognosis.
出处
《肝胆胰外科杂志》
CAS
2007年第6期380-382,共3页
Journal of Hepatopancreatobiliary Surgery
关键词
胆囊肿瘤
诊断
外科手术
预后
gallbladder neoplasms
diagnosis
surgery
prognosis
