【摘要】 自１９８５年１月至１９９２年１０月，我科共收治经手术和病理证实的胆囊隆起性病变５４例，其中恶性病变１０例，良性病变４４例。我们根据临床不同的类型而选择不同的手术方式：①对于良性病变和局限于粘膜层的胆囊癌行胆囊单纯切除术；②对于未穿破浆膜层的胆囊癌宜行胆囊切除木及局部淋巴结清扫术；③对于穿破浆膜层或浸及肝脏的单个结节转移灶宜行胆囊切除术局部淋巴结清扫和肝部分切除；①对于不能切除的胆囊癌行剖腹探查，姑息性手术，肝动脉插管化疗等。本文讨论了Ｂ超检查作为首选辅助诊断的问题。更多还原

【Abstract】 rom January 1985 to October 1992 , 54 Patients with polypoid lesions of gallbladder . inciuding44 cases of benign and 10 malignances, were operated in our hospital. Resection of gallbladder wasdetermined by pathologic examination. Different operative methods should be adapted for differentclinical types: ①cholecystectomy was performed when neoplasms were benign or tumor invadedmucosa of gallbladder;②cholecystectomy with regional lymphadenectomy was undertaken for tumorthat did not extend beyond the serosa of gallbladder; ③when tumor invaded beyond the serosa ofgallbladder or into liver,cholecystectomy and regional lymphadenectomy with partial hepatic resectionwas performed;④ exploratory laparotomy, or palliative operation, hepatic artery infusion wasperformed when the tumor could not be resected. B-ultrasound,the first elective examination of thediagnostic method was discu&sed in this paper.更多还原