摘要
目的 探讨胆囊癌诊治的有效途径。方法 对我院 1986～ 2 0 0 1年收治 3 6例胆囊癌患者的临床资料进行回顾性分析。结果 术前诊断率 74.3 % ,64 %的胆囊癌合并胆囊结石。B超、CT是诊断胆囊癌的主要手段。误诊率 17%。手术的切除率 5 5 .6%。 1年生存率 3 6% ,5年生存率 10 %。结论 Ⅰ、Ⅱ、Ⅲ期胆囊癌首选根治性手术 ,Ⅳ、Ⅴ期采取综合治疗。早期诊断且行根治性手术是提高胆囊癌患者生存时间的有效方法。对高危胆囊结石的患者宜积极行胆囊切除术。
Objective To improve the diagnosis and therapeutic efficacy of primary gallbladder carcinoma.Method A retrospective clinical analysis was made in 36 cases of gallbladder carcinoma treated in our hospital from 1986 to 2001.Results 74.3% cases were definitely diagnosed before operation. 64% patients were accompanied with gallstone.17% cases were misdiagnosed.Ultrasonography and CT were the main method of diagnosis of gallbladder carcinoma.26 cases underwent surgical treatment with a resection rate of 55.6%.Postoperative 1 and 5 years survival rate of resection were 36% and 10%.Conclusions Radical resection is the mainstay for stage Ⅰ,Ⅱ,Ⅲ gallbladder carcinoma,and comprehensire treatment is fit for stage Ⅳ,Ⅴ.Early diagnosis and radical resection are the efficient methods for long-term survival of the patients with gallbladder carcinoma.Cholecystectomy on the time is necessary to the high-risk gallstone.
出处
《临床外科杂志》
2003年第2期83-84,共2页
Journal of Clinical Surgery
