胆囊癌的诊治及误诊原因分析  

Diagnosis and teatment of primary cacinoma of the gallbladder and analysis of its misdiagnostic causes

作　　者：曾思务[1] 刘雨[1] 芦芳[2] 郭光伟[2] 姚晋林[3] 王世民[3] 阎军[3] 

机构地区：[1]山东省丑照市人民医院外科,日照市276800 [2]山西医科大学附属二院外科,太原市03001 [3]山西医科大学附属一院外科,太原市03001

出　　处：《现代消化及介入诊疗》2000年第3期38-40,共3页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的:提高治疗原发性胆囊癌疗效。方法:对经手术和病理证实的36例原发性胆囊癌进行回顾性分析。结果:术前明确诊断17例,术中及术后病理确诊19例,其中术中漏诊4例,占21.1％。随访33例,术后半年内死亡19例,1a 以上8例,2a 以上5例,5a 以上1例。结论:原发性胆囊癌预后较差,5a 生存率3％,术后平均生存期约11个月。强调早期诊断治疗避免漏诊的重要性。To improve the curative effects of primary cacinoma of the gallbladder.METHODS:Analysis of 36 cases that had been proven by surgical histological examination as primary cacinoma of the gallbladder.RESULTS:There ere 17 cases diagnosed correctly before opration,while the other 19 patients were diagnosed during of post operation, among them 4(21.1%) patients were misdignosed in operation.33 cases were followed up.One patient survived more than 5 years after operation.Five patients survived more than 2 years afte operation.Eight patients survived more than 1 year after operation.Nineteen patients died in 1 to 6 months after operation.CONCLUSION:Prognosis of primary carci- noma of the gallbladder is very poor.5 years survival rates was 3%,1 year suruival rate lower than 24%,on the average survival was about 11 months after operation.Pathological finding and the therapeutic efficacy of gallbladder carcinoma on time is very important in prognosis.

关 键 词：胆囊癌 误诊原因 临床表现 手术方式 病理分期 发病原因 病理检查 

分 类 号：R735.8[医药卫生—肿瘤]