摘要
对23例手术并经病理证实为胆囊癌的病例进行回顾性分析。23例患者，男性8例，女性15例，平均年龄64．7±8．6（岁），21例伴有胆囊结石或／和胆管结石，占91．30％，平均胆石症病程6．9年，临床术前诊断符合率34．78％（8／23），肿瘤切除率43．48％（10／23），组织学类型22例为腺癌，1例为未分化癌。认为胆囊癌多与胆石症并发存在，常发生于病史长，年龄较大的胆石症患者，故对长期病程的高龄胆石症病人要警惕癌变的可能，对这些高危人群宜尽早手术。
23 patients who were identified as gallbladder carcinoma by operation and through histologic examination were retrospectively analyzed. The 8 male patients and 15 female patients had an average age of 64. 7±8. 6 years. 21 cases had coexistingcholelithiasis,occupying 91. 30%. The average duration of the gallstone symptoms was 6. 9 ± years. Preoperative diagnostic ratewas 34. 78%. The main type of the pathologic histology was adenocarcinoma. The authers think that gallbladder carcinoma is mostlyconcomitant with cholelithiasis. and more often occur in elderly patients with longhistory of gallstone disease. Due to high risk ofdeveloping gallbladder carcinoma,the elderly patients with long-term gallstone should accept operation as soon as possible
出处
《肝胆外科杂志》
1999年第1期48-49,共2页
Journal of Hepatobiliary Surgery
关键词
胆囊癌
胆石症
Gallbladder carcinoma
Cholelithiasis
