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目的探讨原发性胆囊癌的早期诊断和治疗方法。方法回顾分析32例原发性胆囊癌患者的诊治资料。结果术前确诊率仅为46.9%(15/32)。单纯胆囊切除4例,胆囊加肝楔形切除6例,胆囊加肝楔形切除加区域淋巴结清扫7例,胆肠内引流2例,胃空肠吻合1例,仅行剖腹探查4例,非手术治疗8例。结论B超和CT是早期诊断胆囊癌的主要手段,手术切除是最佳选择,术后综合治疗有重要意义,肿瘤的基因治疗正逐渐发展成为治疗原发性胆囊癌的一种新方法,已显示出良好的应用前景。
Objective To investigate the early diagnosis and treatment of primary gallbladder cancer. Methods Retrospective analysis of 32 cases of primary gallbladder cancer diagnosis and treatment of patients. Results The preoperative diagnosis rate was only 46.9% (15/32). Simple cholecystectomy in 4 cases, gallbladder plus liver wedge resection in 6 cases, gallbladder plus liver wedge resection plus regional lymph node dissection in 7 cases, biliary and intestine drainage in 2 cases, gastrojejunostomy in 1 case, only laparotomy in 4 cases, non-surgical treatment of 8 example. Conclusions B-ultrasonography and CT are the main methods for the early diagnosis of gallbladder cancer. Surgical resection is the best choice and comprehensive treatment is of great significance. The gene therapy of tumors is gradually developing into a new method for the treatment of primary gallbladder cancer. Shows a good application prospects.