摘要
目的探讨原发性胆囊癌的早期诊断及处理原则。方法对我院2001年7月至2008年7月年间收治的36例原发性胆囊癌患者的临床资料及手术治疗情况进行回顾性分析。结果胆囊结石与胆囊癌的发病之间有着密切的关系,80.6%(29/36)胆囊癌患者合并有胆囊结石;首发症状以腹痛最为常见,共19例(52.8%),其次为黄疸14例(38.9%)。B超、CT及MR诊断准确率分别为52.9%、57.1%及52.9%;36例均行手术治疗,术前确诊率仅为58.3%(21/36)。结论原发性胆囊癌早期诊断非常困难,CT诊断准确率较高。提高对原发性胆囊癌发病的认识,加强对高危人群的定期监测随访,联合运用B超和CT检查有助于本病的早期诊断,改善预后。
Objective To explore the early diagnosis and treatment of primary carcinoma of gallbladder （PCG）. Methods The clinical data of 36 surgical PCGs from July 2001 to July 2008 in our hospital were collected and retrospectively analyzed. Resuits 80.6% （29/36）PCG was accompanied with gallstone. The most common initial symptom was bellyache, accounting for 52.8% （19/36）;the second was jaundice, accounting for 38.9% （14/36）. The accurate diagnosis rate of BUS, CT and MR was 52.9%, 57.1% and 52.9%, respectively. The accurate diagnosis rate was 58.3 % before operation（21/36）. Conclusion The early diagnosis of PCG is very difficult. The highest accurate diagnosis rate is 57. i % with CW. The increasing early diagnosis rate and improved prognosis for PCG need more recoguition of PCG, surveillance and following up of patients, and using BUS with CT trot.
出处
《广东医学院学报》
2009年第5期504-506,共3页
Journal of Guangdong Medical College
关键词
原发性胆囊癌
早期诊断
处理原则
primary carcinoma of gallbladder
early diagnosis
treatment
