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目的：提高原发性胆囊癌的早期诊断率，改善治疗结果。方法：对本组２３例原发性胆囊癌进行研究。结果：长时间右上腹部不适、隐痛是主要症状。１５例伴有胆囊结石史，其中１２例病史超过５ａ。８例病人经Ｂ－ｕｓ诊断为Ｎｅｖｉｎ分期Ⅲ期、Ⅳ期。术后１ａ死亡１８例，１例ＮｅｖｉｎⅠ期病人生存超过５ａ。结论：治疗原发性胆囊癌的关键在于早期诊断。对于年龄超过５０岁，长期胆囊结石病史及Ｂ－ｕｓ显示胆囊壁不规则增厚者，应高度警惕本病可能。对术中可疑者，应行冰冻切片检查，一经确诊即行根治性手术
Objective: To improve the early diagnosis of primary gallbladder cancer and improve the outcome of treatment. Methods: 23 cases of primary gallbladder cancer in this group were studied. Results: Long-term right upper abdominal discomfort and pain are the main symptoms. Fifteen patients had a history of gallstones, of which 12 had a history of more than 5 years. Eight patients were diagnosed with Nevin stage III and IV by B-us. 18 cases died 1 year after surgery, and 1 case of Nevin I patients survived more than 5 years. Conclusion: The key to the treatment of primary gallbladder cancer lies in early diagnosis. For those over the age of 50, the history of chronic gallbladder stones and B-us showed irregular thickening of the gallbladder wall, it should be highly alert to the possibility of this disease. For suspected suspicious persons, frozen section examination should be performed and radical surgery should be performed once diagnosed.