46例胆囊癌临床分析  

Primary Gallbladder Cancer:A Clinical Analysis of 46 Cases

作　　者：罗林海[1] 普志江 付江华[1] 何涛[1] 李院江[1] 靳波[1] 

机构地区：[1]玉溪市人民医院普外科,云南省玉溪市653100 [2]云南玉溪红塔集团职工医院

出　　处：《中国肿瘤临床》2003年第8期569-571,共3页Chinese Journal of Clinical Oncology

摘　　要：探讨胆囊癌早期诊断、治疗及预后。方法:分析46例胆囊癌病历资料,结合术后病例随访。术前诊断主要为B超及CT检查。结果:术前诊断胆囊癌28例(60.9%),术中诊断39例(84.8%),术中漏诊7例(15.2%)。Ⅰ期2例,Ⅱ期7例,行胆囊切除。Ⅲ期8例,Ⅳ期6例,Ⅴ期5例,行根治性胆囊癌切除。中位生存期分别为68.0个月,42.9个月,18.5个月,8.1个月,6.4个月。Ⅳ期2例,Ⅴ期12例,行胆道引流术,中位生存期4.2个月。Ⅴ期5例,手术活检,中位生存期2.8个月。结论:胆囊癌术前诊断率低(60.9%),早期诊断困难,术中仍有一定的漏诊率。Ⅰ～Ⅱ期胆囊癌行单纯胆囊切除术,预后良好。Ⅲ～Ⅴ期胆囊癌根治切除术中,Ⅲ期预后理想,胆囊癌根治切除术应为Ⅲ期胆囊癌的常规术式,Ⅳ～Ⅴ期预后差。Objective:To explore the early diagnosis,surgical treatment and prognosis of gallbladder cancer.Methods:To study the clinical data of the patients with gallbladder cancer,and flow-up these patients from3months to5years.Results:28(60.9%)cases were diagnosed preoperation.39(84.8%)cases were diagnosed and7(15.2%)cases were not diagnosed during op-erating.2cases of stageⅠand7cases of stageⅡwere received cholecystectomy.8cases of stageⅢ,6cases of stageⅣand5cases of stageⅤwere received radical resection.Their me -dian survival time were68,42.9,8.1,6.4months respectively.Conclusion:Didgnosis rate preop-eration was lower in patients with gallbladder cancer,and fail to diagnosis during operating.The prognosis of the patients with gallbladder cancer of stageⅠtoⅡthat received cholecystectomy was good.A mong the patients with gallbladder cancer of stageⅢtoⅤthat received radical resection.The prognosis of the cases of stageⅢwas best.So radical resection was the first way of surgical treatment gallbladder cancer of stageⅢ.

关 键 词：胆囊癌 诊断 治疗 预后 

分 类 号：R735.8[医药卫生—肿瘤] R730.4[医药卫生—临床医学]