原发性胆囊癌50例临床分析  

The clinic analysis of the primary gallbladder cancer

作　　者：蓝祥海[1] 权毅[1] 易国平[1] 万礼仪[1] 徐亮[1] 王元正[1] 

机构地区：[1]四川省泸州医学院附属一院普外科,泸州646000

出　　处：《岭南现代临床外科》2004年第4期252-254,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨原发性胆囊癌的临床特点、诊断及治疗。方法回顾性分析13年间行手术治疗的50例原发性胆囊癌的临床资料。结果术前B-US、PTC、ERCP、CT和MRCP检查的诊断符合率分别为60%(30/50)、40%(2/5)、100%(2/2)、80%(16/20)和100%(3/3)。本组无手术死亡,术后无严重并发症。随访32例,随访时间为4个月至7年,其中NevinI期2例、Ⅱ期3例、Ⅲ期5例、Ⅳ期7例及Ⅴ期15例;I期术后7年仍存活,Ⅱ期、Ⅲ期、Ⅳ期及Ⅴ期中行根治术或扩大根治术者术后平均存活时间分别为44、28、22及13个月,姑息性手术或剖腹探查活检共15例,平均生存时间仅3个月。结论B-US、CT、MRCP是诊断胆囊癌的有效无痛方法。根治性手术或扩大根治术是提高胆囊癌生存期的重要手段。Objective To Study the clinic characteristic ,diagnosis and treatment of primary gallbladder cancer. Method From Janulary 1991 to December 2003,50 cases with primary gallbladder cancer were analyzed retrospectively. Results The preoperative diagnostic accuracy rate of B,US, PTC, ERCP, CT and MRCP was 60%(30/50), 40%(2/5), 100%(2/2), 80%(16/20) and 100%(3/3)respectively. No operative death and postoperative severe complications were found in all cases. 32 cases were followed from 4 months to 7 years. In the patients with stage Ⅰ,Ⅱ,Ⅲ and Ⅴreceived radical or extended operation,the average survival time was 44,28,22 and 13 months respectively. The 15 cases of palliative operation or exploratory laparotomy and biopsy were only 3 months in the average survival time. Conclusion B,US, CT and MRCP were efficacious and no painful diagnostic methods for the primary gallbladder cancer. Radical or extended radical operation was the important measure to improve the survival time of the primary gallbladder cancer.

关 键 词：原发性胆囊癌 诊断 术后 MRCP 扩大根治术 治疗 CT US 根治性手术 姑息性手术 

分 类 号：R735[医药卫生—肿瘤] R657[医药卫生—临床医学]