【摘要】 目的:总结原发性胆囊癌的诊治经验,探讨其诊断与治疗的有效途径。方法:回顾性分析了1992年1月～2004年6月收治的46例胆囊癌患者的临床病理资料。结果:46例中,术前诊断31例(67.39%),手术治疗40例(86.95%),肿瘤切除22例(47.83%),长期存活者以Nevin分期的Ⅰ、Ⅱ期病例为主。结论:提高胆囊癌治愈率的关键是早期诊断,手术是治疗胆囊癌的首选方法,对有恶变倾向的患者行预防性胆囊切除有效。更多还原

【Abstract】 Objective: To summarize the experience of the diagnosis and management for primary gallbladder carcinoma and search the effective approach for them. Methods: A retrospective analysis on clinical pathological data was made for 46 cases of primary gallbladder carcinoma treated in our hospital from January,1992 to June, 2004. Results: The accurate diagnosis rate preoperative was 67.39%. Both B-mode ultrasonography and computer tomography were important methods to raise the accurate diagnosis rate. In this study, 86.95% of the patients was subjected to operation, the tumor resection rate was 47.83%. The majority of long-term survivors was in Nevin’s Stage Ⅰ,Ⅱ. Conclusions: The cruxes to improve the curative effect of gallbladder carcinoma is early diagnosis. Surgery is the first approach in the treatment of gallbladder carcinoma, preventive cholecystectomy is the effective measure for the gallbladder with canceration tendency.更多还原