本文分析北京7所医院经手术和病理确诊的壶腹癌91例。目前新的诊断技术使其早期诊断已成为可能。文章总结了壶腹癌的临床表现、实验室检查及各种影象检查的特点。强调对35岁以上有难以解释的消化道症状者应行B超和AKP检查,以期及早诊断。文章指出治疗方法及肿瘤分化程度与预后有关。 This article analyzed 91 cases of ampullary carcinoma diagnosed by surgery and pathology in 7 hospitals in Beijing. New diagnostic techniques now make it possible to diagnose early. The article summarizes the clinical manifestations, laboratory tests, and various image examination features of ampullary carcinoma. It is emphasized that B-ultrasonography and AKP examinations should be performed for patients with gastrointestinal symptoms that are difficult to explain above the age of 35, with a view to early diagnosis. The article points out that treatment methods and the degree of tumor differentiation are related to prognosis.