原发性胆囊癌的早期诊断(附679例分析)  

THE EARLY STAGE DIGNOSIS OF PRIMARY GALLBLADDER CARCINOMA:ANALYSIS OF 679 CASES

作　　者：石景森[1] 刘刚[1] 杨毅军[1] 焦兴元[1] 李国才[1] 韩玥[1] 赵凤林[1] 卢云[1] 

机构地区：[1]西安医科大学第一附属医院肝胆外科研究室,陕西西安710061

出　　处：《中国现代普通外科进展》1999年第4期47-49,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的 进一步提高原发性胆囊癌的早期诊断水平和对本病的发病、病理分期及转归的认识.方法 对1956～1998年收治的679例胆囊癌患者的病例资料进行回顾性研究.结果 679例胆囊癌中,女性与男性之比约为3:1.多数病例诊断时已属晚期,胆囊癌手术452例,发现早期病变46例(6.8%).679例中,手术率66.6%(18.2%～78.2%),切除率30.3%(20.0%～36.0%).病理分期199例中,Ⅰ—Ⅱ期获早期诊断者仅7例(11.1%～31.6%).结论 加强对本病的发病、病理分期及转归的认识以及各种检查手段的合理运用,是获得早期诊断及改善预后的基本途径.Objective:In order to enhance the early dignosis level and strengthen the understanding of pathogeny、pathology by stage and prognosis of primary gallbladder car-cinoma(PGC). Methods : The results of 679 patients of PGC from 1956 to 1998 in first affiliated hospital of Xi'an medical university were retrospectively analyzed. Results: Most of the patients belong to advanced stage when dignosised. The PGC were usually found among the old women patients. The sex ratio(female/male) was 3:1. There is a intimate relatioship between gallstone and PGC. About sixty percents of PGC might be found gallstone.The dignostic accordance rate was low between preoperation and postopera-tion.Most patients with PGC were found unexpectedly in operation due to gallstone or a-cute cholecystitis. To worse more, many of patiens with PGC were missed the opportunities of dignosis and treatment because of only paying attention to gallstone. Most of the pathological types were adenocarcinoma. The development of imaging examination is hoped to find early stage cases and improve its prognosis. Conclusion : It is a basic way for early dignosis and improving prognosis to strengthen the understanding of pathogeny, pathology by stage and prognosis and rationalize application of all kinds of exzamination means in PGC.

关 键 词：胆囊肿瘤 诊断 原发性胆囊癌 病因 病理 预防 

分 类 号：R735.8[医药卫生—肿瘤]