原发性胆囊癌36例治疗体会  

The Clinic Analysis of 21 Cases with the Primary Gallbladder Carcinoma

作　　者：丁胜义 韩继光[1] 杨广顺[2] 

机构地区：[1]濉溪县医院普外科,安徽235100 [2]东方肝胆外科医院,上海200438

出　　处：《安徽卫生职业技术学院学报》2010年第3期48-49,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:总结原发性胆囊癌的诊治经验,探讨早期诊断策略。方法:对36例经手术后病理证实为原发性胆囊癌的临床资料进行回顾性分析。结果:该病早期无特异的临床表现,75%与胆囊结石合并存在。结论:原发性胆囊癌的临床表现缺乏特异性,极易误诊;B超检查是早期诊断的首选方法;对高危人群及时进行B超和/或CT等影像学检查并实施手术及术中病检,可望早期诊断原发性胆囊癌。Objectives：To investigate the strategy for early diagnosis in clinical treatment of primary gallbladder carcinoma.Methods：36 patients with primary gallbladder carcinoma were enrolled,Eligible patients had been histologically or cytologically confirmed.A retrospective clinical review was performed of the patients.Results：The clinical manifestation of primary gallbladder carcinoma was atypical in the early stage,75% of all the cases were accompanied with gallstones.Conclusions：primary gallbladder carcinoma is prone to be misdiagnosed for no specific clinical features in the early stage.There is a correlation between primary gallbladder carcinoma and longstanding gallstones.Ultrasound should be the first selection for the early diagnosis of primary gallbladder carcinoma.Ultrasound and/or Computed tomography （CT） and histopathology should be performed among highrisk population in early screening for primary gallbladder carcinoma.

关 键 词：原发性胆囊癌 早期诊断 胆囊结石 

分 类 号：R735.8[医药卫生—肿瘤]