摘要
目的总结原发性胆囊癌的外科临床资料，提高PCG的早期诊断率和治疗效果。方法回顾性分析2002年1月至2010年12月绍兴市人民医院收治111例PCG的临床资料。结果全组术前诊断率为61．3％；111例胆囊癌患者中行单纯胆囊切除术22例，标准根治性切除术47例，扩大根治术18例，行姑息性手术12例，因腹腔内广泛转移而仅取活检12例。PCG术后3年生存率为29．7％（33／111），5年生存率为9．9％（11／111）。结论B超、cT仍是诊断胆囊癌的首选方法，高危人群放宽胆囊手术切除适应证，中西医结合治疗可改善胆囊癌的预后。
Objective To improve the rate of early diagnosis and prolong the survival of patients with gallbladder carcinoma. Method Clinical data of 111 cases of primary carcinoma of the gallbladder undergoing surgery from Jan 2002 to Dec 2010 were analyzed retrospectively. Result The preoperative diagnositic rate was 61.3%. Among the 111 cases of primary carcinoma of the gallbladder, 22 patients received simple cholecystectomy, 47 patients received radical resection, 18 patients received extended radical resection, 12 patients received palliative operation while the other 12 patients only got biopsy due to widespread intraabdominal metastasis. The 3 years survival rate of the patients was 29. 7% （33/111） while the 5 years survival rate was 9. 9% （ 11/111 ）. Conclusions B-uhrasonography and CT are the mainstay for the diagnosis of primary carcinoma of the gallbladder. For those suspected of having the carcinoma, an exploration is recommended.
出处
《中华普通外科杂志》
CSCD
北大核心
2011年第11期947-949,共3页
Chinese Journal of General Surgery
关键词
胆囊肿瘤
诊断
外科治疗
Gallbladder neoplasms
Diagnosis
Therapy, surgical
