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胆囊癌较少见。我院自1979年5月～1984年5月,共施行胆囊切除102例,均经病理检查,确诊为胆囊癌者5例,占4.9％。一般认为慢性胆囊炎胆石症是诱发胆囊癌重要因素之一,可能与胆囊粘膜长期受到剌激,导致粘膜上皮细胞癌变。本文5例胆囊癌有4例并发结石,占80％。胆囊癌预后极恶,行胆囊切除或扩大根治,存活期少有超过一年。我院5例胆囊癌术后,4例分别为3个月、6个月、8.5个月、12个月,只1例现己存活3年。因此,已确诊为慢性胆囊炎胆石症患者,应尽早手术,以去除胆囊癌诱发因素,预防胆囊癌的发生。
Gallbladder cancer is rare. In our hospital from May 1979 to May 1984, a total of 102 cases of cholecystectomy were performed. All of them were pathologically diagnosed and 5 cases were diagnosed with gallbladder cancer, accounting for 4.9%. Chronic gallbladder cholelithiasis is generally considered to be one of the important factors inducing gallbladder cancer. It may be irritated with the gallbladder mucosa for a long time, leading to cancerous epithelial cells. In this article, 5 cases of gallbladder cancer complicated with stones, accounting for 80%. The prognosis of gallbladder cancer is extremely poor, with cholecystectomy or extended radical cure. The survival period is less than one year. 5 cases of gallbladder cancer in our hospital after surgery, 4 cases were 3 months, 6 months, 8.5 months, 12 months, only 1 case has now survived 3 years. Therefore, patients with chronic cholecystitis diagnosed with cholelithiasis should be operated as soon as possible in order to remove the cause of gallbladder cancer and prevent the occurrence of gallbladder cancer.