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目的探讨原发性胆囊癌的早期诊断及外科治疗方法。方法回顾性分析31例经病理证实的原发性胆囊癌患者的临床资料。结果全组术前诊断率61.3%;31例胆囊癌患者中单纯胆囊切除术14例,胆囊癌根治术5例,姑息性胆囊切除术7例,剖腹探查术5例。Nevin分期Ⅰ期0例,Ⅱ期8,Ⅲ期5,Ⅳ期5,Ⅴ期13。结论目前发现的胆囊癌多为中晚期,B超及CT是早期发现胆囊癌的首选方法。根据临床分期实施积极正确的手术可改善胆囊癌的预后。根治性手术是治愈胆囊癌最有效的手段。
Objective To investigate the early diagnosis and surgical treatment of primary gallbladder cancer. Methods The clinical data of 31 patients with pathologically confirmed primary gallbladder cancer were retrospectively analyzed. Results The preoperative diagnosis rate was 61.3%. Among the 31 patients with gallbladder carcinoma, 14 were simple cholecystectomy, 5 were treated by gallbladder carcinoma, 7 were treated by palliative cholecystectomy and 5 by laparotomy. Nevin stage Ⅰ 0 cases, Ⅱ 8, Ⅲ 5, Ⅳ 5, Ⅴ 13. Conclusions The majority of gallbladder carcinomas found in the late stage are B-mode ultrasound and CT, which are the first choice for detecting gallbladder cancer. According to the clinical stage of the implementation of positive and correct surgery can improve the prognosis of gallbladder cancer. Radical surgery is the most effective means to cure gallbladder cancer.