摘要
目的 探讨胆囊癌误诊发生的原因 ,寻找预防的方法。方法 对 1990年 6月～ 1999年 6月 2 6例胆囊癌发生误诊的临床资料进行回顾性分析。结果 术前误诊 19例 ,高达 73.1%。并发胆囊其它疾病为主要原因。其中胆囊结石最常见占 73.7% ,其次有慢性胆囊炎急性发作、瓷样胆囊、胆囊息肉样改变。结论 临床上对于 1老年女性有胆囊炎病史多年 ,胆囊萎缩。 2近期出现局部症状加剧或伴消化障碍。 3 B超或 CT影像学检查 ,胆囊壁不规则隆起或胆囊内单发结节短期内体积增大明显 ,均应早期进行预防性胆囊切除 ,常规剖开胆囊标本 。
Objective To analyze the reason of the misdiagnosis on carcinoma of gallbladder and to search the measure of prevention.Methods Retrospective study was used to analyze the clinical data fron 26 cases with misdcagnosis from June 1990 to June 1999.Results There were 19(73.1%) patients who had been misdiagnosed before operation.Other complications of gallbaldder are the major factors.Gallstones was the commonest reason(73.7%).The following course were the acute attackment of chronic cholecystitis,gallbladder sandpaper and polypoid lesions of gallbladder.Conclusion On clinic,for those patients①aged-women with chronic cholecystitis for serve years and whose galbladders become atrophy.②Local sympton aggrawation and/or with he complication of gastricism recently.③Imaging inspections such as B ultrasongraphy or CT suggest that somatopleure of gallbladder intensified irregularly or the cubic capacity of sblely tuberculum in gallbladder expands obviously in short term.Prophylactic cholecystectomy should be perfomed,and then dissect the sample of the gallbladder as usual,so it can elevate the precise rate of diagnosis on carcinoma of gallbladder.
出处
《肝胆外科杂志》
2000年第5期339-340,共2页
Journal of Hepatobiliary Surgery
关键词
胆囊癌
误诊
预防
诊断
Carcinoma of gallbladder Misdiagnosis Prevention
