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目的 探讨原发性胆囊癌的治疗经验。方法 对 1990年 12月至 2 0 0 0年 12月手术治疗的 38例原发性胆囊癌患者进行了回顾性分析。根据Nevin分期选择手术方式 ,主要包括单纯胆囊切除术 5例 ,胆囊切除加胆囊床肝组织楔形切除 16例 ,胆囊切除加胆囊床肝组织切除合并胰头十二指肠切除术 3例。结果 本组 38例 ,随访 2 6例 ,术后存活 1年 13例 ,2年 8例 ,3年 5例 ,1、2、3年生存率分别为 5 0 %、30 8%及 19 2 %。结论 B超、CT合并使用能准确诊断原发性胆囊癌。手术治疗是治疗胆囊癌最有效的手段 ,晚期胆囊癌预后较差 ,应行扩大根治术
Objective To explore the experience of treatment of primary gallbladder cancer. Methods 38 cases of primary gallbladder cancer who underwent surgery between December 1990 and December 2000 were retrospectively analyzed. According to Nevin staging surgery, including 5 cases of simple cholecystectomy, cholecystectomy plus gallbladder liver wedge resection in 16 cases, cholecystectomy plus gallbladder bed hepatic resection combined with pancreatoduodenectomy in 3 cases. Results The group of 38 patients were followed up for 26 cases, survived for 13 years, 8 cases for 2 years and 5 cases for 3 years. The 1, 2, 3 year survival rates were 50%, 30%, 19% . Conclusion B ultrasound, CT combined with accurate diagnosis of primary gallbladder cancer. Surgery is the most effective treatment of gallbladder cancer, advanced gallbladder cancer prognosis is poor, should be extended radical mastectomy