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目的 探讨原 发性胆囊癌的临床特点，早期诊断及治疗。方法 回顾性分析原发 性胆囊癌２４例。结果 本组均行手术治疗，无手术死亡率。随访１６ 例，其中Ⅰ～Ⅱ期４例术后１～７年仍存活，Ⅲ期４例，Ⅴ期８例平均生存期分别为２０个月，５．５ 个月。结论 Ｂ超，彩色多普勒，ＣＴ检查是诊断本病的重要手段。对 可疑病例，Ｂ超可反复进行，有助于早期诊断，术中组织冰冻切片可尽早明确病变性质。根 治性手术是胆囊癌的主要治疗手段。
Objective To investigate the clinical features, diagnosis and treatment of primary gallbladder cancer. Methods Retrospective analysis of 24 cases of primary gallbladder cancer. Results The group underwent surgical treatment, no surgical mortality. The follow-up of 16 cases, of which Ⅰ ~ Ⅱ 4 patients survived 1 to 7 years after surgery, Ⅲ in 4 cases, Ⅴ 8 cases, the average survival was 20 months, 5.5 months. Conclusion B ultrasound, color Doppler, CT examination is an important means of diagnosis of the disease. Suspicious cases, B can be repeated, will help early diagnosis, intraoperative frozen section as soon as possible to determine the nature of the disease. Radical surgery is the main treatment of gallbladder cancer.