易误诊为胆囊癌的结石性胆囊炎并文献复习  

Calculous Cholecystitis Easily Masquerading as Gallbladder Carcinoma and Literature Review

作　　者：刘昌军[1,2] 龚伟智 邓维成[2] 刘玲[2] 刘佳新[2] 王鹏[2] 罗凤球[2] 高政[2] 丁国建[2] 吴金术[1,2] 

机构地区：[1]湖南省人民医院肝胆外科,长沙410005 [2]湖南省血吸虫病防治所附属湘岳医院,岳阳414000

出　　处：《中国现代手术学杂志》2017年第3期178-181,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨临床极易误诊为胆囊癌的结石性胆囊炎临床鉴别及手术治疗要点。方法回顾性总结2例术前均误诊胆囊癌的结石性胆囊炎患者临床病历资料,并进行文献复习。结果患者术后病情平稳,无手术并发症发生,分别随访16个月和12个月,均生存良好。结论有效地认识此类疾病,良好的病史采集、实验室、影像检查与术前评估,可有效减少此类疾病的误诊;术中细致精巧的处理和完善的术后治疗,预后良好。Objective To explore the clinical identification and surgical treatment points of the calculous cholecystitis easily misdiagnosed as gallbladder carcinoma.Methods The clinical data of two cases with calculous cholecystitis misdiagnosed as gallbladder carcinoma were retrospectively analyzed.And associated literatures were reviewed.Results The two patients were in stable condition after the operation without operative complications.They were followed up 16 or 12 months and survived well.Conclusions The multiple strategies as effective understanding of the calculous cholecystitis,good medical history-taking,complete laboratory,imaging and preoperative assessment,can effectively reduce the misdiagnosis of such diseases.The ideal prognosis can be achieved based on meticulous and delicate surgical operating and thorough postoperative treatment.

关 键 词：黄色肉芽肿性胆囊炎 胆囊肿瘤 误诊 

分 类 号：R657.41[医药卫生—外科学]