论文部分内容阅读
目的 探讨原发性胆囊癌的不同治疗方式对其预后的影响。方法 对 1988～ 1998年10年间 12 6例原发性胆囊癌的治疗结果进行临床回顾性研究。结果 12 6例胆囊癌占同期胆道外科疾病的 2 7% (12 6 / 46 2 7) ,占同期普外疾病的 0 76 % (12 6 / 16 478)。根治性切除率 38 9% ,平均生存8 8个月 ;姑息性手术率 30 9% ,平均生存 3 9个月 ;其他治疗方式占 30 2 % ,平均生存 3 3个月。结论 早期诊断、根治性切除是使胆囊癌病人术后长期生存的关键 ,病理类型对胆囊癌的预后有重要影响。
Objective To investigate the effect of different treatment methods for primary gallbladder carcinoma on its prognosis. Methods A retrospective study was performed on the results of treatment of 162 cases of primary gallbladder carcinoma during the 10 years from 1988 to 1998. Results Twelve six gallbladder carcinomas accounted for 27% (12/46/27) of biliary surgical disease at the same time, accounting for 376% (12 6/16 478) of common diseases during the same period. The curative rate of radical resection was 38 9%, and the average survival time was 8 8 months. The rate of palliative surgery was 30 9% and the average survival time was 39 months. The other treatment methods accounted for 30 2% and the average survival time was 3 3 months. Conclusion Early diagnosis and radical resection are the key to long-term survival of patients with gallbladder carcinoma. Pathological types have important influence on the prognosis of gallbladder cancer.